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Provider Information for 1710252945


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LACHELLE L BARNETT MSW


Sex: Female

NPI: 1710252945
Last Updated: 2012-03-21
Certification Date:

Details

NameValue
NPI1710252945
Enumeration Date2012-03-21
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address PO BOX 809
GOSHEN, IN 46527-0809
United States

Phone: 574-533-1234 | Fax:574-537-2652
 
Primary Practice Address 415 E MADISON ST
SOUTH BEND, IN 46617-2322
United States

Phone: 574-283-1234 | Fax:574-283-1361
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 104100000X - Social Worker