Jack Stanley Terry
NPI #1134741283 in Northville, Michigan
Provider Information
- NPI Number
- 1134741283
- Entity Type
- Individual
- Name
- Jack Stanley Terry
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- May 12, 2020
- Last Updated
- May 12, 2020
Practice Location
- Address
- 22370 INNSBROOK DR
- City
- Northville
- State
- Michigan
- ZIP Code
- 48167-9322
- Phone
- (248) 719-1791
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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