FLUARRY DWAYNE JACKSON

ALLENDALE, MI
NPI1154968980
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6801104924)
Enumeration Date2019-11-27
Last Update Date2019-11-27
Business Address
FLUARRY DWAYNE JACKSON LLMSW
5068 W CAMPUS DR APT G25
ALLENDALE, MI 49401-8850
Phone number: 231-740-3455
Mailing Address
FLUARRY DWAYNE JACKSON LLMSW
5068 W CAMPUS DR APT G25
ALLENDALE, MI 49401-8850
Phone number: 231-740-3455
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