Individual
JEFFREY HOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2051 W GRAND BLVD, DETROIT, MI 48208-1105
(313) 961-3200
Mailing address
5674 STONERIDGE DR, SUITE 116, PLEASANTON, CA 94588-8500
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801090501
MI
Other
Enumeration date
12/24/2008
Last updated
12/24/2008
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