Individual
JESIKA LEIGH SAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2080 UNION AVE SE, GRAND RAPIDS, MI 49507-3247
(269) 251-6565
Mailing address
5354 N 20TH ST, KALAMAZOO, MI 49004-1471
(248) 924-0510
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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