Individual
JUSTIN JEREMY BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 N WEST AVE, JACKSON, MI 49202-2179
(517) 780-3350
(517) 789-1286
Mailing address
9483 GALATIAN DR, WHITMORE LAKE, MI 48189-9716
(734) 646-8426
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802090398
MI
1041C0700X
Clinical Social Worker
6802090398
MI
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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