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Individual

JENNIE LYNNE AEDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LPC

Contact information

Practice address
5397 MILLINGTON RD, MILLINGTON, MI 48746-8701
(989) 871-6695
(989) 871-3663
Mailing address
PO BOX 359, MILLINGTON, MI 48746-0359
(989) 871-6695
(989) 871-3663

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401015124
MI

Other

Enumeration date
06/15/2018
Last updated
06/15/2018
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