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1164188173
JORDAN KEYES KELLOGG
FLINT, MI
NPI
1164188173
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6851113959)
Enumeration Date
2021-11-14
Last Update Date
2021-11-14
Business Address
JORDAN KEYES KELLOGG LLMSW
806 TUURI PL
FLINT, MI 48503-2465
Phone number: 810-767-5750
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Mailing Address
JORDAN KEYES KELLOGG LLMSW
1569 S OGEMAW TRL
WEST BRANCH, MI 48661-9738
Phone number: 810-887-9447
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