Organization
CHARLES T JAX & ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES T JAX LMSW BCD ABDA SAP (PRES)
(586) 751-0999
Entity
Organization
Contact information
Practice address
12200 E 13 MILE RD, STE 150, WARREN, MI 48093-3096
(586) 751-0999
(586) 751-1703
Mailing address
12200 E 13 MILE RD, STE 150, WARREN, MI 48093-3096
(586) 751-0999
(586) 751-1703
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/17/2006
Last updated
07/21/2010
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