Individual
DEANNA PERSOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
920 DIANA ST, LUDINGTON, MI 49431-1987
(231) 845-6294
(231) 845-7095
Mailing address
920 DIANA ST, LUDINGTON, MI 49431-1987
(231) 845-6294
(231) 845-7095
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6802088988
MI
1041C0700X
Clinical Social Worker
Primary
6801109093
MI
Other
Enumeration date
02/26/2018
Last updated
03/02/2021
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