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Organization

ANGIE DOTSON LMSW LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANGELA DOTSON LMSW (CLINICAL SOCIAL WORKER)
(616) 893-0090
Entity
Organization

Contact information

Practice address
1843 RW BERENDS DR SW, WYOMING, MI 49519-4955
(616) 773-2908
Mailing address
1843 RW BERENDS DR SW, WYOMING, MI 49519-4955
(616) 773-2908

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801091245
MI

Other

Enumeration date
11/22/2016
Last updated
01/10/2017
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