Individual
MR. JEREMY GOETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.L.M.S.W.
Contact information
Practice address
2122 15 MILE RD, SUITE B, STERLING HEIGHTS, MI 48310-4853
(586) 264-3692
Mailing address
2951 BOLINGBROKE DR, TROY, MI 48084-1067
(586) 549-8320
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801091901
MI
Other
Enumeration date
03/29/2010
Last updated
03/29/2010
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