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Search › Michigan › 104100000X

Cassidy Jewell

NPI 1417435660 · on the registry since 2018

Practice

Address
890 N 10th St Ste 110
Kalamazoo, MI 49009
Phone
(888) 527-0012
Organisation at this address
Beacon Specialized Living New Jersey, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
19

Registry record

Primary taxonomy
104100000X
104100000X
Also registered as
1041C0700X
172V00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-11-14

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