JOSE CRUZ

SOUTH BEND, IN
NPI1932530805
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2013-12-03
Last Update Date2013-12-03
Business Address
-- JOSE CRUZ MSW
415 E MADISON ST
SOUTH BEND, IN 46617-2322
Phone number: 574-533-1234
Mailing Address
-- JOSE CRUZ MSW
PO BOX 809
GOSHEN, IN 46527-0809
Phone number: 574-533-1234
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