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Individual

MR. DAVID P BEATTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CADC-M

Contact information

Practice address
1151 MICHIGAN AVE, 118, EAST LANSING, MI 48823-4069
(517) 242-2120
Mailing address
1151 MICHIGAN AVE, 118, EAST LANSING, MI 48823-4069
(517) 242-2120

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
330324
MI

Other

Enumeration date
08/02/2011
Last updated
08/02/2011
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