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JOHN RUSSELL ELSASSER MSW, LCSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1215283767

Individual Registrant:
 JOHN RUSSELL ELSASSER MSW, LCSW
Gender: M
Not Sole Proprietor

Location and contact information for practice:
118 N SALLY DR  WINAMAC, IN 46996-9100 US
Tel: 574-946-4233  Fax: 574-946-4365

Contact information for business:
118 N SALLY DR  WINAMAC, IN 46996-9100 US
Tel: 574-946-4233  Fax: 574-946-4365

Registration Information:
NPI: 1215283767
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
IN34003534A

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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