Individual
JODIE MARIE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
1615 MICHIGAN AVE, BALDWIN, MI 49304-7984
(231) 745-3116
(231) 745-3136
Mailing address
1615 MICHIGAN AVE, BALDWIN, MI 49304-7984
(231) 745-3116
(231) 745-3136
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802085547
MI
Other
Enumeration date
03/25/2011
Last updated
03/25/2011
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