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TERRI DAWN BACKHERMS L.C.S.W.

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

Registrant NPI Number: 1215194824

Individual Registrant:
 TERRI DAWN BACKHERMS L.C.S.W.
Gender: F
Sole Proprietor

Location and contact information for practice:
3640 W MOUNT TABOR RD  SALEM, IN 47167-5851 US
Tel: 812-883-0914  Fax: --

Contact information for business:
3640 W MOUNT TABOR RD  SALEM, IN 47167-5851 US
Tel: 812-883-0914  Fax: --

Registration Information:
NPI: 1215194824
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
IN34004277A

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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