Individual
JOHN FREDERICK DILWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.L.P.
Contact information
Practice address
491 COLUMBIA AVE E, SUITE 4, BATTLE CREEK, MI 49014-5468
(269) 962-9611
Mailing address
313 S GULL LAKE DR, RICHLAND, MI 49083-9383
(269) 254-6700
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301005958
MI
Other
Enumeration date
04/03/2013
Last updated
04/03/2013
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