JEFFERY DEITRICK

MIDLAND, MI
NPI1659989705
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6801092058)
Enumeration Date2020-07-15
Last Update Date2024-09-12
Business Address
JEFFERY DEITRICK
1205 E WACKERLY ST
MIDLAND, MI 48642-7035
Phone number: 989-832-9161
Mailing Address
JEFFERY DEITRICK
1205 E WACKERLY ST
MIDLAND, MI 48642-7035
Phone number: 989-832-9161
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