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1720558901
EILEEN VELASQUEZ WALTERS
SOUTH BEND, IN
NPI
1720558901
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34008105A)
Enumeration Date
2018-11-29
Last Update Date
2018-11-29
Business Address
EILEEN VELASQUEZ WALTERS LCSW
220 W COLFAX AVE STE 400
SOUTH BEND, IN 46601-1635
Phone number: 574-546-1900
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Mailing Address
EILEEN VELASQUEZ WALTERS LCSW
PO BOX 136
WANATAH, IN 46390-0136
Phone number: 219-363-5766
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