Individual
JENNIFER GIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1253 AUSTIN FARMS DR, ORTONVILLE, MI 48462-8496
(248) 408-1362
Mailing address
1253 AUSTIN FARMS DR, ORTONVILLE, MI 48462-8496
(248) 408-1362
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/01/2017
Last updated
05/01/2017
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