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Organization
HJG FARM LLC
Active
Organization
HJG FARM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI JO GLEW LMSW (OWNER)
(517) 290-5648
Entity
Organization
Contact information
Practice address
240 S BRIDGE ST, SUITE 220, DEWITT, MI 48820-8825
(517) 277-0200
Mailing address
PO BOX 10, MASON, MI 48854-0010
(517) 676-9788
(517) 676-3438
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801085158
MI
Other
Enumeration date
01/21/2013
Last updated
01/21/2013
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