Provider Information for 1417167065
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Dr. KATHLEEN BURNS JAGER Ph.D., LMFT, LLP
Sex: Female
NPI: 1417167065
Last Updated: 2013-02-18
Certification Date:
Certification Date:
Details
Name | Value | ||||||||||||
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NPI | 1417167065 | ||||||||||||
Enumeration Date | 2007-05-23 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | YES | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 482 ANHINGA DR EAST LANSING, MI 48823-8662 United States Phone: 517-719-8715 | Fax: | ||||||||||||
Primary Practice Address | 908 E MOUNT HOPE AVE PERSPECTIVES THERAPY SERVICES LANSING, MI 48910-3262 United States Phone: 517-719-8715 | Fax: | ||||||||||||
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