Avance, Kimberly J

Avance, Kimberly J is an sole proprietor health care provider with primary practice located at 226 E Woodside St , South Bend IN 46614-1116. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Avance, Kimberly J can be contacted via phone (269) 240-7711.

Contact Information

Primary practice address
226 E Woodside St South Bend IN 46614-1116
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X 6801082332 Michigan

Profile Details

NPI number 1447833710
LBN Legal business name Avance, Kimberly J
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2021
Last updated May 4th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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