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Individual
JAMIE LACROSS
Active
Individual
JAMIE LACROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.B.S.W.
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6802065681
MI
171M00000X
Case Manager/Care Coordinator
Primary
6802065681
MI
Other
Enumeration date
05/08/2012
Last updated
11/22/2023
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