Jackson Blough
NPI #1023903119 in Benton Harbor, Michigan
Provider Information
- NPI Number
- 1023903119
- Entity Type
- Individual
- Name
- Jackson Blough
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Jun 10, 2025
- Last Updated
- Jun 10, 2025
Practice Location
- Address
- 1613 M 139
- City
- Benton Harbor
- State
- Michigan
- ZIP Code
- 49022-5748
- Phone
- (269) 925-0585
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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