Individual
JAMIE NICOLE NYBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5303 S CEDAR ST, LANSING, MI 48911-3800
(517) 346-8318
Mailing address
812 E JOLLY RD STE 311, LANSING, MI 48910-6821
(517) 346-8275
(517) 346-8291
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801102885
MI
Other
Enumeration date
03/30/2020
Last updated
03/30/2020
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