Male or Other

Jefferson Reddoch

Clinical Social Worker in Marquette, MI(View on Map)

Full Name

Jefferson Reddoch

NPI Number

1265294714

NPI Type

Individual Provider

Gender

Male

Enumeration Date

01/29/2024

Specialties

(Taxonomies)

Code

1041C0700X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

200 W SPRING ST
200 W SPRING ST

City

Marquette
Marquette

State

MI
MI

Postal Code

49855-4661
49855-4661

Country

US
US

Telephone Number

(906) 225-1181
(906) 225-1181

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/29/2024

Provider Address

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