Individual
JACQUELINE PLANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6051 FRANKFORT HWY STE 200, BENZONIA, MI 49616-9651
(231) 882-2176
Mailing address
13137 MILARCH RD, BEAR LAKE, MI 49614-9769
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802082353
MI
Other
Enumeration date
02/27/2008
Last updated
02/27/2008
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