Individual
JEANNE M HARPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPS, FT, BCETS, LBSW
Contact information
Practice address
447 1ST ST, MENOMINEE, MI 49858-3307
(906) 864-2590
(906) 864-3058
Mailing address
1113 ELIZABETH AVE, MARINETTE, WI 54143-2514
(715) 735-9549
(906) 864-3058
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802065750
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08943500
BLUE CROSS BLUE SHIELD
MI
05
—
39282900
—
WI
Enumeration date
10/24/2006
Last updated
07/09/2007
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