| Jack Stanley Terry, | |
|
22370 Innsbrook Dr, Northville, MI 48167-9322 | |
| (248) 719-1791 | |
| Not Available |
| Full Name | Jack Stanley Terry |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 22370 Innsbrook Dr, Northville, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134741283 | NPI | - | NPPES |
| 000000000 | Other | MI | NONE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149006760 (Illinois) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6801063118 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jack Stanley Terry, Po Box 530564, Livonia, MI 48153-0564 Ph: () - | Jack Stanley Terry, 22370 Innsbrook Dr, Northville, MI 48167-9322 Ph: (248) 719-1791 |
Mrs. Keely F Bartel, L.M.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 413 Beal St, Northville, MI 48167 Phone: 248-767-0241 | |
Jennifer Lynn Cotter, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 41740 6 Mile Rd Ste 103, Northville, MI 48168 Phone: 734-542-6969 | |
Shannon Hopson, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 19807 Crystal Lake Dr, Northville, MI 48167 Phone: 248-767-7551 | |
Mr. David Mark Klein, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 52542 Hidden Forest Dr, Northville, MI 48167 Phone: 248-496-1937 Fax: 248-438-4119 | |
Katie Lynn Krajewski-kidd, TLLP, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 315 N Center St, Northville, MI 48167 Phone: 313-656-4052 | |
Samantha Ashlee Guyah, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 39901 Traditions Dr, Northville, MI 48168 Phone: 734-998-2020 | |
Jordyn Lee Mitchell, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 21500 Haggerty Rd Ste 350, Northville, MI 48167 Phone: 734-265-0841 Fax: 734-356-3325 |