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1750320230
SUSAN M ST. VILLE
SOUTH BEND, IN
NPI
1750320230
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34005158A)
Enumeration Date
2006-06-06
Last Update Date
2007-07-08
Business Address
-- SUSAN M ST. VILLE Ph.D., MSW, LCSW
403 E MADISON ST
SOUTH BEND, IN 46617-2322
Phone number: 574-283-1107
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Mailing Address
-- SUSAN M ST. VILLE Ph.D., MSW, LCSW
1101 RIVERSIDE DR
SOUTH BEND, IN 46616-1510
Phone number: 574-288-6732
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