Individual
MRS. JESLYN ELIZABETH AGEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLBSW
Contact information
Practice address
527 COBB ST, CADILLAC, MI 49601-2540
(231) 775-3463
(231) 775-1692
Mailing address
1223 BARLOW ST, TRAVERSE CITY, MI 49686-4256
(517) 612-4045
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802088105
MI
Other
Enumeration date
08/14/2015
Last updated
10/19/2015
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