SearchMichiganClinical Social Worker

Jessica Bazan Deraedt, LMSW

NPI 1083170963 · on the registry since 2019 · sole proprietor

Practice

Address
1108 Homewild Ave
Jackson, MI 49201
Phone
(231) 679-0648

Registry record

Primary taxonomy
Clinical Social Worker
1041C0700X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-07-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan