Provider Information for 1437381837
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KATHLEEN ELAINE BLUMENTRITT LMFT
Sex: Female
NPI: 1437381837
Last Updated: 2012-01-20
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1437381837 | ||||||||
| Enumeration Date | 2009-08-18 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 55855 BITTERSWEET RD MISHAWAKA, IN 46545-7718 United States Phone: 574-210-8644 | Fax: | ||||||||
| Primary Practice Address | 55855 BITTERSWEET RD MISHAWAKA, IN 46545-7718 United States Phone: 574-210-8644 | Fax: | ||||||||
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