Theodore, Jennifer Lee

Theodore, Jennifer Lee is an sole proprietor health care provider with primary practice located at 35031 23 Mile Rd , New Baltimore MI 48047-3649. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Theodore, Jennifer Lee can be contacted via phone (586) 725-5777.

Contact Information

Primary practice address
35031 23 Mile Rd New Baltimore MI 48047-3649
Phone: (586) 725-5777
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801092056 Michigan

Profile Details

NPI number 1063894509
LBN Legal business name Theodore, Jennifer Lee
Credentials LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2015
Last updated Jun 21st, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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