MRS. Jessica Amber Bazan Deraedt, LMSW
NPI #1083170963 in Jackson, Michigan
Provider Information
- NPI Number
- 1083170963
- Entity Type
- Individual
- Name
- MRS. Jessica Amber Bazan Deraedt, LMSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LMSW
- Enumeration Date
- Feb 15, 2019
- Last Updated
- Jul 17, 2020
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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