Individual
JENSEN HOPE BOARDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
2900 LAKEVIEW AVE, SAINT JOSEPH, MI 49085-2379
(269) 982-7739
Mailing address
75839 COUNTY ROAD 681, DECATUR, MI 49045-8818
(269) 982-7739
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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