Lucretia Ellen Vantuyle

NPI #1154959757 in Benton Harbor, Michigan

Provider Information

NPI Number: 1154959757
Entity Type: Individual
Name: Lucretia Ellen Vantuyle
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Mar 30, 2020
Last Updated: Mar 30, 2020

Practice Location

Address: 497 WAUKONDA AVE
City: Benton Harbor
State: Michigan
ZIP Code: 49022-3142
Phone: (269) 876-5206

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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