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NPI Code Detail

MEDICARE: ASHLEY ANNAMARIE JENEMA LLMSW

MEDICARE: ASHLEY ANNAMARIE JENEMA LLMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker6801092105MI
21041C0700XClinical Social Worker

General Provider Information

NPI Number : 1144541913
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY ANNAMARIE JENEMA LLMSW
Provider Business Mailing Address
First Line : 200 W SPRING ST
Second Line :
City : MARQUETTE
State : MI
Zip : 49855-4661
Country : US
Telephone Number : 906-225-1181
Fax Number : 906-225-7203
Provider Business Practice Location Address
First Line : 200 W SPRING ST
Second Line :
City : MARQUETTE
State : MI
Zip : 49855-4661
Country : US
Telephone Number : 906-225-1181
Fax Number : 906-225-7203
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2010
Last Update Date : 07/21/2022

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