Individual
MS. JODI MCQUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
1570 SUNCREST DR, LAPEER, MI 48446-1154
(810) 667-0500
Mailing address
4881 MOUNT MORRIS RD, COLUMBIAVILLE, MI 48421-8972
(810) 667-0500
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
MI
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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