MEDICARE: JAMILYN ELIZABETH BLAINE-SNYDER 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
1	1041C0700X	Clinical Social Worker	6851121892	MI

General Provider Information

NPI Number	:	1629900766
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMILYN ELIZABETH BLAINE-SNYDER LLMSW

Provider Business Mailing Address
First Line	:	12245 TOWNLINE RD
Second Line	:
City	:	GRAND BLANC
State	:	MI
Zip	:	48439-1634
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10683 S SAGINAW ST STE B
Second Line	:
City	:	GRAND BLANC
State	:	MI
Zip	:	48439-8127
Country	:	US
Telephone Number	:	810-214-2884
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2026
Last Update Date	:	06/02/2026

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