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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISS JENNIFER LEE THEODORE, LMSW

Active Sole Proprietor

MISS JENNIFER LEE THEODORE, LMSW is a Clinical Social Worker healthcare provider located in NEW BALTIMORE, Michigan. NPI 1063894509 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · NEW BALTIMORE, MI

Registration Details

NPI Number
1063894509
Provider Type
Individual
Gender
Female
NPI Issued
Jun 21, 2015 (11.1051146232 yrs)
Last Updated
Jun 21, 2015
License
6801092056 (MI)
Sole Proprietor
Yes

Practice Information

Address
35031 23 MILE RD
NEW BALTIMORE, MI, 480473649
Browse MI providers · Browse ZIP 48047
Phone
5867255777
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in NEW BALTIMORE, MI

Name Credential NPI
MRS. DEBRA LYNN FRANCISCO L.M.S.W. 1396961405
MRS. REBECCA LYNN KONARZ LMSW 1609035245
MS. TERRI ELLEN DUGANNE LMSW 1790019404
MS. ABIGAIL LEWIS LMSW 1629449731
ADRIANNE MUNTZ LLMSW 1285089839
MATTHEW JENKINS 1902352628
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.