Mr. Willie Jefferson
Mr. Willie Jefferson is a Day Training/Habilitation Specialist in Port Huron, Michigan. Practices as a sole proprietor. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
230 Huron AvePort Huron, MI 48060-3822
Phone: (810) 966-4473
Fax: (810) 985-9498
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Specialties & licences
| Day Training/Habilitation Specialist (primary) | Taxonomy 373H00000X |
|---|
Record details
| NPI number | 1932212453 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 17, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 230 Huron Ave, Port Huron, MI 48060-3822 |
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