MRS. JESSICA BAZAN DERAEDT, LMSW

Social Worker - Clinical

Active Individual
NPI: 1083170963

Practice Address

1108 HOMEWILD AVE
Jackson, MI 49201

Phone: (231) 679-0648

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes 6801101750 (MI)

Frequently Asked Questions

NPI 1083170963 is the National Provider Identifier for MRS. JESSICA BAZAN DERAEDT, LMSW, a Social Worker - Clinical provider located in Jackson, MI. This NPI was enumerated on February 15, 2019.
MRS. JESSICA BAZAN DERAEDT, LMSW practices at 1108 HOMEWILD AVE, Jackson, MI 49201.

Quick Facts

NPI
1083170963
Type
Individual
Enumerated
Feb 15, 2019
Last Updated
Jul 17, 2020

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