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Individual

DUSTIN THEODORE BURDICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LLMSW

Contact information

Practice address
3050 IVANREST AVE SW STE D, GRANDVILLE, MI 49418-1400
(616) 481-3784
(866) 496-2998
Mailing address
11630 FULTON ST E, LOWELL, MI 49331-9426
(616) 481-3784
(866) 496-2998

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6851113939
MI

Other

Enumeration date
06/20/2022
Last updated
06/20/2022
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