Individual
BRENNA DILTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
6051 FRANKFORT HWY, SUITE 200, BENZONIA, MI 49616-9558
(877) 398-2013
Mailing address
6051 FRANKFORT HWY, SUITE 200, BENZONIA, MI 49616-9558
(877) 398-2013
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801096343
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801096343
STATE OF MICHIGAN
MI
Enumeration date
01/30/2014
Last updated
11/29/2018
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