Individual
DANIELLE DITTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
130 N MAIN ST, LAKE CITY, MI 49651-5103
(231) 295-1196
Mailing address
PO BOX 141, LAKE CITY, MI 49651-0141
(586) 436-0397
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801120872
MI
Other
Enumeration date
10/06/2025
Last updated
11/06/2025
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