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309 Huron Ave Ste B Port Huron MI 48060-3869 | |
| (810) 689-9899 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 309 Huron Ave Ste B, Port Huron, Michigan |
| Authorized Official Name and Position | Julie Ann Jowett-lee (OWNER) |
| Authorized Official Contact | 8106899899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
309 Huron Ave Ste B Port Huron MI 48060-3869 Ph: (810) 689-9899 | 309 Huron Ave Ste B Port Huron MI 48060-3869 Ph: (810) 689-9899 |
| NPI Number | 1497101695 |
|---|---|
| Provider Enumeration Date | 05/06/2016 |
| Last Update Date | 07/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497101695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801059005 (Michigan) | Primary |
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