ELYSIA TIDEY

Counselor

NPI: 1104541242Individual

Specialties, Licenses & Credentials

CounselorPrimary

Counselor

Code: 101Y00000X

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Contact & Hours

Address: 611 LINCOLN WAY E
SOUTH BEND, IN 46601
Phone: (574) 360-4066

Quick Facts

NPI: 1104541242
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 1
Locations: 1

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