Individual
DR. MICHAEL JAMES JENUWINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
725 HOWARD ST, SOUTH BEND, IN 46617-1529
(574) 631-7795
(574) 631-6725
Mailing address
725 HOWARD ST, SOUTH BEND, IN 46617-1529
(574) 631-7795
(574) 631-6725
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
20041826A
IN
103TF0200X
Forensic Psychologist
—
IL
Other
Enumeration date
06/21/2007
Last updated
07/08/2007
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