Bledsoe, Debra S

Bledsoe, Debra S is an sole proprietor health care provider with primary practice located at 29861 Florida Ave , Elkhart IN 46516-1351. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bledsoe, Debra S can be contacted via phone (574) 607-1110.

Contact Information

Primary practice address
29861 Florida Ave Elkhart IN 46516-1351
Phone: (574) 607-1110
Fax: (574) 607-1110
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1831222827
LBN Legal business name Bledsoe, Debra S
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 13th, 2007
Last updated Jan 3rd, 2018 - about 7 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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