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Individual

JENNA K NIENHUIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4250 PLYMOUTH ROAD, ANN ARBOR, MI 48109-2700
(734) 764-6443
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801090992
MI

Other

Enumeration date
02/06/2012
Last updated
03/05/2012
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