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Individual

DANA MARIE DECAPITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
12850 FOUNTAIN SQ, DAVISBURG, MI 48350-2552
(248) 634-6303
(248) 634-1746
Mailing address
12850 FOUNTAIN SQ, DAVISBURG, MI 48350-2552
(248) 634-6303
(248) 634-1746

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801084051
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
750910401
BLUE CROSS
MI
01
750910402
BLUE CROSS
MI
01
750910681
BLUE CROSS
MI
01
750910932
BLUE CROSS
MI
Enumeration date
08/26/2008
Last updated
08/26/2008
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