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Individual
MR. JONATHAN PETER MCCULLOCH
Active
Individual
MR. JONATHAN PETER MCCULLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLMSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6851115199
MI
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
10/27/2011
Last updated
09/20/2023
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