Individual
MR. JEFFREY J HADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
31500 SCHOOLCRAFT RD, LIVONIA, MI 48150-1805
(734) 422-9340
Mailing address
6549 TOWN CENTER DR, CLARKSTON, MI 48346-4824
(734) 422-9340
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801092209
MI
1041C0700X
Clinical Social Worker
6801092209
MI
Other
Enumeration date
04/12/2013
Last updated
01/25/2021
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