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Elizabeth Theis Gable

Case Manager/Care Coordinator in Mishawaka, IN. Individual provider (NPI-1).

NPI number1134826753
StatusActive
Last updated in NPPESFeb 14, 2023

Details

NPI
1134826753
Entity type
Individual (NPI-1)
Name
Elizabeth Theis Gable
Sex
Female
Sole proprietor
No
Enumeration date
Feb 14, 2023
Certification date
Feb 14, 2023
Last updated
Feb 14, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

2410 Grape Rd Ste 6
Mishawaka, IN 46545-3015

Phone 574-217-0128 · Fax 574-288-3447

Mailing address

10100 Elida Rd
Delphos, OH 45833-9058

Phone 419-695-8010 · Fax 419-932-6232

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