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1780158170
JESSICA LOUISE BLODGETT
WATERFORD, MI
NPI
1780158170
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MI 6401017014)
Enumeration Date
2019-01-18
Last Update Date
2019-01-18
Business Address
Ms. JESSICA LOUISE BLODGETT LLPC
4576 W WALTON BLVD
WATERFORD, MI 48329-4905
Phone number: 248-742-1963
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Mailing Address
Ms. JESSICA LOUISE BLODGETT LLPC
13730 S 28TH ST
VICKSBURG, MI 49097-9304
Phone number:
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