Individual
JOLEEN MARIE BEAGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1175 SUMMERLYN DR, GRAND BLANC, MI 48439-9245
(810) 210-1114
Mailing address
1175 SUMMERLYN DR, GRAND BLANC, MI 48439-9245
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801089812
MI
Other
Enumeration date
04/24/2008
Last updated
04/24/2008
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