Individual
MR. JOHN NATHAN SEPPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LBSW
Contact information
Practice address
3847 PINE GROVE AVENUE, FORT GRATIOT, MI 48059
(810) 985-4009
(810) 985-9498
Mailing address
4158 ATKINS ROAD, PORT HURON, MI 48060
(810) 987-2653
(810) 984-8111
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802060252
MI
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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