Individual
BETH DURKEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
6436 126TH AVE, FENNVILLE, MI 49408-8624
(269) 673-6617
Mailing address
6436 126TH AVE, FENNVILLE, MI 49408-8624
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801065974
MI
Other
Enumeration date
05/14/2009
Last updated
05/14/2009
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