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Individual
MELISSA DAWN JOUSMA
Active
Individual
MELISSA DAWN JOUSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6801085490
MI
1041C0700X
Clinical Social Worker
Primary
6801085490
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1715928
—
MI
Enumeration date
09/28/2006
Last updated
04/20/2011
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