Provider Information for 1043377567
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JEAN MARIE SNYDER OTRL, LPC
Sex: Female
NPI: 1043377567
Last Updated: 2021-03-13
Certification Date: 2021-03-13
Certification Date: 2021-03-13
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1043377567 | ||||||||||||
| Enumeration Date | 2007-01-03 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 76 ELMSFORD DR CLAWSON, MI 48017-1236 United States Phone: 248-238-5588 | Fax: | ||||||||||||
| Primary Practice Address | 76 ELMSFORD DR CLAWSON, MI 48017-1236 United States Phone: 248-238-5588 | Fax: | ||||||||||||
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