Individual
MR. CLARENCE JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MASTER OF SOCIAL WOR
Contact information
Practice address
1225 S 11TH ST, NILES, MI 49120-3408
(269) 684-7741
Mailing address
1225 S 11TH ST, NILES, MI 49120-3408
(269) 684-7741
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
381961500
MI
Other
Enumeration date
08/26/2014
Last updated
08/26/2014
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