Individual
JODIE ROBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
203 E CAYUGA ST, BELLAIRE, MI 49615-9180
(231) 533-8619
Mailing address
PO BOX 220, BELLAIRE, MI 49615-0220
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/30/2017
Last updated
10/30/2017
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