JENNIFER C BLAISDELL

LIVONIA, MI
NPI1336717123
Former NameJENNIFER CIVITA HARDEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6801095531)
Enumeration Date2021-06-16
Last Update Date2021-06-16
Business Address
JENNIFER C BLAISDELL
14392 HUBBARD ST
LIVONIA, MI 48154-4146
Phone number: 734-765-3842
Mailing Address
JENNIFER C BLAISDELL
231 STATE ST STE 6
PETOSKEY, MI 49770-2785
Phone number: 231-881-9125