Individual
JENNIFER SCALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 LAKEVIEW AVE, SAINT JOSEPH, MI 49085-2379
(269) 982-7732
(269) 982-7732
Mailing address
2900 LAKEVIEW AVE, SAINT JOSEPH, MI 49085-2379
(269) 982-7732
(269) 982-7732
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/15/2021
Last updated
12/15/2021
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