Jennifer Deja Msw Plc

NPI #1992221345 in Newaygo, Michigan

Provider Information

NPI Number: 1992221345
Entity Type: Organization
Organization Name: Jennifer Deja Msw Plc
Primary Specialty: Social Worker - Clinical
Enumeration Date: Aug 17, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 130 W WOOD ST
City: Newaygo
State: Michigan
ZIP Code: 49337-8991
Phone: (231) 206-6159

Authorized Official

Name: MARY BETH HOUPT
Title: CREDENTIALING
Phone: (517) 676-9788

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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