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1700949492
ELLIOT A. FISCH
SOUTH BEND, IN
NPI
1700949492
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34001951A)
Enumeration Date
2006-12-18
Last Update Date
2007-07-08
Business Address
Mr. ELLIOT A. FISCH LCSW
108 N MAIN ST
SOUTH BEND, IN 46601-1625
Phone number: 574-234-3515
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Mailing Address
Mr. ELLIOT A. FISCH LCSW
51558 TEASDALE CT
SOUTH BEND, IN 46637-1360
Phone number: 574-247-0609
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