EDWARD MANCILE JEFFERSON

LANSING, MI
NPI1891203998
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: MI  6401015665)
Enumeration Date2018-01-11
Last Update Date2018-01-11
Business Address
EDWARD MANCILE JEFFERSON
2800 W WILLOW ST
LANSING, MI 48917-1833
Phone number: 517-323-4734
Mailing Address
EDWARD MANCILE JEFFERSON
2800 W WILLOW ST
LANSING, MI 48917-1833
Phone number: 517-323-4734
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