Provider Information for 1083329791
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CAMILLE JARRETT LLMSW
Sex: Female
NPI: 1083329791
Last Updated: 2023-01-17
Certification Date: 2023-01-17
Certification Date: 2023-01-17
Details
| Name | Value | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1083329791 | ||||||||||||||
| Enumeration Date | 2023-01-17 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | YES | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 147 GRACELAND ST NE GRAND RAPIDS, MI 49505-6251 United States Phone: | Fax: | ||||||||||||||
| Primary Practice Address | 1346 BALDWIN ST JENISON, MI 49428-8937 United States Phone: 616-780-2340 | Fax: | ||||||||||||||
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