Individual
JODY DIMARCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
805 W MAUMEE ST, ADRIAN, MI 49221-1901
(517) 266-8880
Mailing address
805 W MAUMEE ST, ADRIAN, MI 49221-1901
(517) 266-8880
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801081788
MI
Other
Enumeration date
12/02/2015
Last updated
12/02/2015
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