Individual
JORDAN FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 W SPRING ST, MARQUETTE, MI 49855-4661
(906) 226-4847
Mailing address
200 W SPRING ST, MARQUETTE, MI 49855-4661
(906) 226-4847
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801104761
MI
Other
Enumeration date
08/22/2019
Last updated
10/15/2020
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