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1821239831
JANE A VERNON
SOUTH BEND, IN
NPI
1821239831
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34000831A)
Enumeration Date
2009-03-20
Last Update Date
2012-11-21
Business Address
-- JANE A VERNON LCSW
415 E MADISON ST
SOUTH BEND, IN 46617-2322
Phone number: 574-283-1234
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Mailing Address
-- JANE A VERNON LCSW
PO BOX 809
GOSHEN, IN 46527-0809
Phone number: 574-533-1234
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