Provider Information for 1427546886
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REBECCA ST. JAMES MSW
Sex: Female
NPI: 1427546886
Last Updated: 2023-11-09
Certification Date: 2023-11-06
Certification Date: 2023-11-06
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1427546886 | ||||||||||||
| Enumeration Date | 2018-05-01 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 156 APOLLO AVE FLUSHING, MI 48433-9320 United States Phone: 307-575-7842 | Fax: | ||||||||||||
| Primary Practice Address | 5406 GATEWAY CTR STE E FLINT, MI 48507-3933 United States Phone: 989-220-3060 | Fax: | ||||||||||||
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