Individual
KATIE MICHELLE COMSTOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1206 CLINTON RD, JACKSON, MI 49202-2005
(517) 783-4250
Mailing address
1206 CLINTON RD, JACKSON, MI 49202-2005
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6803086977
MI
Other
Enumeration date
09/01/2017
Last updated
09/01/2017
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