Individual
COLETTE PURUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
100 S JEFFERSON ST B, HASTINGS, MI 49058-4905
(269) 331-0283
Mailing address
816 S CHURCH ST, HASTINGS, MI 49058-2212
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801091270
MI
Other
Enumeration date
07/01/2017
Last updated
06/29/2021
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