JEFFREY DOUGLAS

PONTIAC, MI
NPI1184116113
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: MI  6801114949)
Additional Taxonomies1041C0700X Social Worker, Clinical
Enumeration Date2018-06-05
Last Update Date2023-05-22
Business Address
Mr. JEFFREY DOUGLAS LMSW
1685 BALDWIN AVE STE 100
PONTIAC, MI 48340-1242
Phone number: 248-706-3450
Mailing Address
Mr. JEFFREY DOUGLAS LMSW
3277 BROOKSHEAR CIR
AUBURN HILLS, MI 48326-2211
Phone number: 248-766-1563