Individual
JERRY BRACKETT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LBSW
Contact information
Practice address
1110 ELDON BAKER DR, FLINT, MI 48507-1923
(616) 301-8000
Mailing address
1110 ELDON BAKER DR, FLINT, MI 48507-1923
(616) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802063586
MI
Other
Enumeration date
08/18/2014
Last updated
10/22/2021
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