Individual
JEFFREY CLEARWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A. LLP
Contact information
Practice address
551 LINN ST, SUITE 230, ALLEGAN, MI 49010-1595
(269) 686-4110
(269) 686-2135
Mailing address
551 LINN ST, SUITE 230, ALLEGAN, MI 49010-1595
(269) 686-4110
(269) 686-2135
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
JC011643
MI
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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