Individual
JENNIFER MACKAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
9070 8TH ST, HESPERIA, MI 49421-9403
(616) 717-8191
Mailing address
9070 8TH ST, HESPERIA, MI 49421-9403
(616) 717-8191
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802085401
MI
Other
Enumeration date
03/13/2019
Last updated
01/30/2023
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