Individual
ANDREW JOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1570 SUNCREST DR, LAPEER, MI 48446-1154
(810) 667-0500
Mailing address
1570 SUNCREST DR, LAPEER, MI 48446-1154
(810) 667-0500
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/04/2020
Last updated
09/19/2022
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