Individual
ALYSSA DANTZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
655 E CEDAR AVE, GLADWIN, MI 48624-2215
(989) 426-9295
Mailing address
PO BOX 663, LAKELAND, MI 48143-0663
(810) 599-2129
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6851114768
MI
Other
Enumeration date
04/11/2019
Last updated
06/12/2023
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