| Doctor Name: | DENISE JOY DOCTER |
| NPI Number: | 1437548542 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW |
| License Number: | 6801091980 |
| Business Practice Address: | 418 Washington St Lakeview, MI - 488507102 |
| Business Phone Number: | 9893526474 |
| Business Fax Number: | 9893528451 |
| Mailing Address: | 100 Michigan St Ne # Mc845, GRAND RAPIDS |
| State: | MI |
| Postal Code: | 495032560 |
| Phone Number: | 6164866790 |
| Fax Number: | 6164866702 |
| NPI Enumeration Date: | 01/13/2015 |
| NPI Last Update Date: | 01/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 6801091980 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |