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Individual

DENIQUIA DENISZE BERRY-GOLSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LLMSW

Contact information

Practice address
1501 KRAFFT RD, FORT GRATIOT, MI 48059-3565
(810) 985-5125
Mailing address
1501 KRAFFT RD, FORT GRATIOT, MI 48059-3565
(810) 985-5125

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6851115739
MI

Other

Enumeration date
11/01/2022
Last updated
11/01/2022
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