ROLANDO A SOSA GRANADOS

SOUTH BEND, IN
NPI1942648456
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IN  87000311A)
Enumeration Date2013-06-06
Last Update Date2013-06-06
Business Address
-- ROLANDO A SOSA GRANADOS LCAC, MSW
415 E MADISON ST
SOUTH BEND, IN 46617-2322
Phone number: 574-283-1234
Mailing Address
-- ROLANDO A SOSA GRANADOS LCAC, MSW
PO BOX 809
GOSHEN, IN 46527-0809
Phone number: 574-533-1234
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