Individual
JENNIFER AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3317 GREENLEAF BLVD, KALAMAZOO, MI 49008-2516
(269) 425-3076
Mailing address
1909 THRUSHWOOD AVE, PORTAGE, MI 49002-5761
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801095097
MI
Other
Enumeration date
06/11/2014
Last updated
04/06/2023
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