Individual
JESSICA DELONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
420 W 5TH AVE, FLINT, MI 48503-2445
(810) 257-3705
Mailing address
324 N TOWNE COMMONS BLVD, FENTON, MI 48430-2679
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802088170
MI
Other
Enumeration date
09/16/2014
Last updated
09/18/2014
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