Individual
JESSICA NIBLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLBSW
Contact information
Practice address
677 E MAIN ST, CENTREVILLE, MI 49032-8524
(269) 467-1000
Mailing address
677 E MAIN ST, CENTREVILLE, MI 49032-8524
(269) 467-1000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802088854
MI
104100000X
Social Worker
6852088854
MI
Other
Enumeration date
02/22/2016
Last updated
07/21/2021
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