Individual
JENNA FASSBENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1111 40TH ST SW, WYOMING, MI 49509-4407
(616) 856-6864
Mailing address
1111 40TH ST SW, WYOMING, MI 49509-4407
(616) 856-6864
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/29/2022
Last updated
03/29/2022
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