NPI | 1245360924 |
---|---|
Professional Name | KELLY M JAGERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: MI LMSW 6801035225) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI LMFT 4101005546) |
Enumeration Date | 2007-03-06 |
Last Update Date | 2012-01-04 |