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Individual

JODY ELIZABETH JOSEPHSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7415 DEXTER PINCKNEY RD, DEXTER, MI 48130-7505
(734) 426-3733
(734) 426-2269
Mailing address
10111 ISLAND LAKE RD, DEXTER, MI 48130-9594
(734) 526-3734
(734) 436-2269

Taxonomy

Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
AF810377402
MI

Other

Enumeration date
05/13/2020
Last updated
05/13/2020
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