Individual
JAMIE ALISON MEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
3386 W HOUGHTON LAKE DR, PRUDENVILLE, MI 48651-9700
(989) 312-1800
Mailing address
PO BOX 404, ROSCOMMON, MI 48653-0404
(989) 312-0858
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6851116349
MI
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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