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Individual

EDDIE V JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
467 N STATE ST, CARO, MI 48723-1539
(989) 673-5700
(989) 672-2017
Mailing address
443 N STATE ST, CARO, MI 48723-1539
(989) 672-6160
(989) 672-5649

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801089876
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20593
BCBS SUBSTANCE ABUSE
MI
01
7509107420
BCBS
MI
Enumeration date
05/06/2010
Last updated
06/15/2012
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