Individual
DANA M LACROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1515 CASS ST, SUITE D, TRAVERSE CITY, MI 49684-4156
(231) 929-2612
Mailing address
1515 CASS ST, SUITE D, TRAVERSE CITY, MI 49684-4156
(231) 929-2612
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801085970
MI
Other
Enumeration date
07/14/2011
Last updated
03/12/2017
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