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Individual

JENNIFER LEE DEPAOLIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LLBSW

Contact information

Practice address
1270 DORIS RD, AUBURN HILLS, MI 48326-2617
(248) 276-8139
(586) 416-6315
Mailing address
1270 DORIS RD, AUBURN HILLS, MI 48326-2617
(248) 276-8139
(586) 416-6315

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802087909
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1861889677
MI
Enumeration date
04/20/2015
Last updated
08/24/2015
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