Individual
JEREMY ADAM MCCOURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
5927 SIMON CT SW, WYOMING, MI 49418-9795
(616) 214-1992
Mailing address
5927 SIMON CT SW, WYOMING, MI 49418-9795
(616) 214-1992
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801097230
MI
Other
Enumeration date
09/06/2021
Last updated
09/06/2021
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