Individual
DALTON THEOPHILOUS BECKLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
1485 M 139, BENTON HARBOR, MI 49022-5711
(269) 925-0952
(269) 926-4420
Mailing address
1485 M 139, BENTON HARBOR, MI 49022-5711
(269) 925-0952
(269) 926-4420
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801089638
MI
Other
Enumeration date
09/27/2007
Last updated
09/27/2007
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