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Individual
JADE SEELYE
Active
Individual
JADE SEELYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
L155020
MI
1041C0700X
Clinical Social Worker
Primary
6801095845
MI
Other
Enumeration date
03/25/2014
Last updated
02/06/2018
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