Individual
JEFFREY LEONARD BACHYNSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BSW
Contact information
Practice address
15200 MERCANTILE, DEARBORN, MI 48120
(313) 827-0764
Mailing address
15200 MERCANTILE, DEARBORN, MI 48120
(313) 827-0764
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
23-7289763
MI
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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