Individual
CYNTHIA WOLF JUBENVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3304 COOLEY CT, PORTAGE, MI 49024-7430
(269) 349-2266
(269) 349-0792
Mailing address
1230 N VAN BRUGGEN ST, PLAINWELL, MI 49080-1147
(269) 685-9561
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801035807
MI
Other
Enumeration date
02/19/2018
Last updated
11/27/2023
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