Provider Information for 1710252945
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LACHELLE L BARNETT MSW
Sex: Female
NPI: 1710252945
Last Updated: 2012-03-21
Certification Date:
Certification Date:
Details
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NPI | 1710252945 | ||||||||
Enumeration Date | 2012-03-21 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
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 | ||||||||
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