Individual
MRS. BETH E VANDERWALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
432 WILDWOOD AVE, JACKSON, MI 49201-1148
(517) 782-6674
Mailing address
432 WILDWOOD AVE, JACKSON, MI 49201-1148
(517) 782-6674
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801001240
MI
Other
Enumeration date
06/03/2008
Last updated
10/15/2008
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