Provider Information for 1922662709
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KATLYN JONES LMSW
Sex: Female
NPI: 1922662709
Last Updated: 2024-07-11
Certification Date: 2024-07-11
Certification Date: 2024-07-11
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1922662709 | ||||||||||||
| Enumeration Date | 2019-04-26 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 15209 W MICHIGAN AVE MARSHALL, MI 49068-9570 United States Phone: 269-781-9119 | Fax: | ||||||||||||
| Primary Practice Address | 15209 W MICHIGAN AVE MARSHALL, MI 49068-9570 United States Phone: 269-781-9119 | Fax: | ||||||||||||
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