Individual
JACQUES SHORT II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9559 MIDDLEBELT RD, LIVONIA, MI 48150-3009
(269) 459-1818
Mailing address
509 N EATON ST, ALBION, MI 49224-1243
(517) 499-8493
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361008155
MI
Other
Enumeration date
04/25/2016
Last updated
10/21/2025
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