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Jennifer Sue Fye

Social Worker, Clinical in Clinton Twp, MI. Individual provider (NPI-1).

NPI number1982102075
StatusActive
Last updated in NPPESJun 16, 2018

Details

NPI
1982102075
Entity type
Individual (NPI-1)
Name
Mrs. Jennifer Sue Fye
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 24, 2018
Last updated
Jun 16, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical–MIYes

Practice location

21885 Dunham Rd Ste 1
Clinton Twp, MI 48036-1030

Phone 586-469-5950

Mailing address

1424 Miller St
Port Huron, MI 48060-4272

Phone 810-433-4439

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