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1104600626
DEREK WITZKE
CADILLAC, MI
NPI
1104600626
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6851117201)
Enumeration Date
2023-08-24
Last Update Date
2023-09-25
Business Address
DEREK WITZKE LLMSW
805 S CARMEL ST
CADILLAC, MI 49601-2344
Phone number: 231-775-6517
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Mailing Address
DEREK WITZKE LLMSW
5190 E 32 RD
CADILLAC, MI 49601-9006
Phone number: 231-878-7523
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