MISS Jennifer Lee Theodore, LMSW
NPI #1063894509 in New Baltimore, Michigan
Provider Information
- NPI Number
- 1063894509
- Entity Type
- Individual
- Name
- MISS Jennifer Lee Theodore, LMSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LMSW
- Enumeration Date
- Jun 21, 2015
- Last Updated
- Jun 21, 2015
Practice Location
- Address
- 35031 23 MILE RD
- City
- New Baltimore
- State
- Michigan
- ZIP Code
- 48047-3649
- Phone
- (586) 725-5777
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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