Individual
JERRY JAY ANDERSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14799 DIX TOLEDO RD, SOUTHGATE, MI 48195-2507
(313) 287-4540
Mailing address
14799 DIX TOLEDO RD, SOUTHGATE, MI 48195-2507
(313) 287-4540
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/03/2025
Last updated
04/03/2025
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