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1679369904
AUSTIN LEE BLUE
SOUTH BEND, IN
NPI
1679369904
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: IN 33012493A)
Enumeration Date
2025-04-15
Last Update Date
2025-04-15
Business Address
AUSTIN LEE BLUE LSW
611 LINCOLN WAY E
SOUTH BEND, IN 46601-3212
Phone number: 574-360-4066
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Mailing Address
AUSTIN LEE BLUE LSW
611 LINCOLN WAY E
SOUTH BEND, IN 46601-3212
Phone number: 574-360-4066
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