THEODORE JAY

EAST LANSING, MI
NPI1326888793
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: MI  6851117852)
Enumeration Date2024-05-31
Last Update Date2024-05-31
Business Address
THEODORE JAY LLMSW
2970 E LAKE LANSING RD
EAST LANSING, MI 48823-7415
Phone number: 517-258-1374
Mailing Address
THEODORE JAY LLMSW
4115 MAR MOOR DR
LANSING, MI 48917-1613
Phone number: 773-318-2296
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