Individual
MS. JANINE KAY BEATTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LBSW
Contact information
Practice address
217 E SANILAC RD, SANDUSKY, MI 48471-1383
(810) 648-4327
(810) 648-4338
Mailing address
4160 S VAN DYKE RD, MARLETTE, MI 48453-9101
(989) 635-4743
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802085566
MI
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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