Organization
SAMONE DERKS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMONE LYNN DERKS LMSW (CLINICAL SOCIAL WORKER)
(906) 361-1386
Entity
Organization
Contact information
Practice address
129 W BARAGA AVE STE F, MARQUETTE, MI 49855-4761
(906) 361-1386
Mailing address
129 W BARAGA AVE STE F, MARQUETTE, MI 49855-4761
(906) 361-1386
(906) 273-1650
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/11/2020
Last updated
11/17/2020
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