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Organization
J MICHEL ASSOCIATE
Active
Organization
J MICHEL ASSOCIATE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAQUELINE G MICHEL LCSWR (OWNER)
(315) 859-1470
Entity
Organization
Contact information
Practice address
36 KELLOGG ST, CLINTON, NY 13323-1523
(315) 859-1470
(315) 859-1480
Mailing address
36 KELLOGG ST, CLINTON, NY 13323-1523
(315) 859-1470
(315) 859-1480
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
R037032
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1307
BCBS
—
Enumeration date
03/06/2007
Last updated
08/22/2020
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