Jade Fenner

NPI #1366198947 in Canton, Michigan

Provider Information

NPI Number: 1366198947
Entity Type: Individual
Name: Jade Fenner
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Feb 23, 2022
Last Updated: Feb 23, 2022

Practice Location

Address: 49597 UPTOWN AVE APT 208
City: Canton
State: Michigan
ZIP Code: 48187-5935
Phone: (317) 373-9771

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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