JESSICA AMBER BAZAN DERAEDT

JACKSON, MI
NPI1083170963
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6801101750)
Enumeration Date2019-02-15
Last Update Date2020-07-17
Business Address
Mrs. JESSICA AMBER BAZAN DERAEDT LMSW
1108 HOMEWILD AVE
JACKSON, MI 49201-1835
Phone number: 231-679-0648
Mailing Address
Mrs. JESSICA AMBER BAZAN DERAEDT LMSW
1108 HOMEWILD AVE
JACKSON, MI 49201-1835
Phone number: 231-679-0648
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