Individual
MS. JAN L GULLIVER-KLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW ACSW
Contact information
Practice address
425 N. MICHIGAN AVENUE, SUITE C, BEULAH, MI 49617
(231) 882-5514
(231) 882-5517
Mailing address
425 N. MICHIGAN AVENUE, SUITE C, BEULAH, MI 49617
(231) 882-5514
(231) 882-5517
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6801019630
MI
Other
Enumeration date
11/02/2005
Last updated
01/25/2011
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