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Organization

PREVENTION WORKS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DANIELLE RENEE SIELATYCKI (EXECUTIVE DIRECTOR)
(269) 388-4200
Entity
Organization

Contact information

Practice address
611 WHITCOMB ST, SUITE A, KALAMAZOO, MI 49008-2487
(269) 388-4200
(269) 388-2070
Mailing address
611 WHITCOMB ST, SUITE A, KALAMAZOO, MI 49008-2487
(269) 388-4200
(269) 388-2070

Taxonomy

Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
390134
MI

Other

Enumeration date
05/07/2008
Last updated
05/07/2008
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