JERRY DOUGLAS LICKFELT

PORT HURON, MI
NPI1417622408
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2021-08-11
Last Update Date2021-08-11
Business Address
JERRY DOUGLAS LICKFELT CPSS
3111 ELECTRIC AVE
PORT HURON, MI 48060-8127
Phone number: 810-966-8900
Mailing Address
JERRY DOUGLAS LICKFELT CPSS
3111 ELECTRIC AVE
PORT HURON, MI 48060-8127
Phone number:
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