Individual
DEBRA JESUDOWICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1115 BALL AVE NE, GRAND RAPIDS, MI 49505-5904
(989) 331-1805
Mailing address
4558 WILKSHIRE AVE SW, WYOMING, MI 49548-4156
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801120917
MI
1041C0700X
Clinical Social Worker
6851116167
MI
Other
Enumeration date
05/01/2023
Last updated
12/10/2025
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