Kovas Stretch, Deborah W
Kovas Stretch, Deborah W is an individual health care provider with primary practice located at 107 N Eddy St , South Bend IN 46617-2920. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Kovas Stretch, Deborah W can be contacted via phone (574) 246-1036.Contact Information
Primary practice address
107 N Eddy St
South Bend IN 46617-2920
Phone: (574) 246-1036
Fax: (574) 246-1634
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Social Worker | 104100000X | 34004169A | Indiana |
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 34004169A | Indiana |
Profile Details
NPI number | 1023197092 |
---|---|
LBN Legal business name | Kovas Stretch, Deborah W |
Credentials | MSW LCSW ACSW |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 2nd, 2006 |
Last updated | Mar 19th, 2013 - about 11 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1023197092 | NPPES |
Indiana | Other | 710519000 | MAGELLAN |
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