Individual
BETSY LYNN SAMUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
3847 PINE GROVE AVE STE A, FORT GRATIOT, MI 48059-4265
(810) 966-7859
Mailing address
3847 PINE GROVE AVE STE A, FORT GRATIOT, MI 48059-4265
(810) 966-7859
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801085516
MI
Other
Enumeration date
08/23/2006
Last updated
07/08/2007
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