JACK JEFFERY DEGRACE

BRIDGEPORT, MI
NPI1255180535
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2024-05-17
Last Update Date2024-05-17
Business Address
JACK JEFFERY DEGRACE
6296 BRIDGEPORT VILLAGE SQUARE DR STE 2
BRIDGEPORT, MI 48722-9655
Phone number: 989-401-1239
Mailing Address
JACK JEFFERY DEGRACE
5039 VILLA LINDE PKWY STE 30
FLINT, MI 48532-3450
Phone number: 989-401-2244