Individual
JONI SUE MCCOLLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6546 ANN RD, FRUITPORT, MI 49415-9616
(231) 830-9339
(231) 737-1464
Mailing address
6546 ANN RD, FRUITPORT, MI 49415-9616
(231) 830-9339
(231) 737-1464
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
MI
Other
Enumeration date
04/13/2023
Last updated
04/13/2023
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