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Kimberly Cruz, MSW

Counselor in South Bend, IN. Individual provider (NPI-1).

NPI number1275188773
StatusActive
Last updated in NPPESAug 2, 2019

Details

NPI
1275188773
Entity type
Individual (NPI-1)
Name
Kimberly Cruz
Credential
MSW
Sex
Female
Sole proprietor
No
Enumeration date
Aug 2, 2019
Last updated
Aug 2, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101Y00000X Counselor––Yes

Practice location

415 E Madison St
South Bend, IN 46617-2322

Phone 574-533-1234 · Fax 574-537-2652

Mailing address

330 Lakeview Dr
Goshen, IN 46528-7000

Phone 574-533-1234 · Fax 574-537-2652

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