Individual
DENISE A VADEBONCOEUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1505 WATERFORD PKWY, SAINT JOHNS, MI 48879-9630
(989) 227-9000
(989) 224-0058
Mailing address
PO BOX 161, SAINT JOHNS, MI 48879-0161
(989) 227-9000
(989) 224-0058
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801079621
MI
Other
Enumeration date
01/05/2007
Last updated
07/08/2007
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