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Joni Sue Mccollum
Day Training/Habilitation Specialist in Fruitport, Michigan
NPI 1508552522

Joni Sue Mccollum is a Day Training/Habilitation Specialist based in Fruitport, MI. Joni Sue Mccollum practices in Fruitport, MI. The NPI Number for Joni Sue Mccollum is 1508552522 and holds a License No. (Michigan).

The current practice location address for Joni Sue Mccollum is 6546 Ann Rd, Fruitport, MI and can be reached out via phone at 231-830-9339 and via fax at 231-737-1464.

Location: 6546 Ann Rd, Fruitport, MI, 49415-9616
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508552522
Provider Name
Joni Sue Mccollum
Credential
Provider Entity Type
Individual
Gender
Female
Address
6546 Ann Rd, Fruitport, MI, 49415-9616
Phone Number
231-830-9339
Fax Number
231-737-1464
Provider Enumeration Date
04/13/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6546 Ann Rd
City
Fruitport
State
Michigan
Zip
49415-9616
Phone Number
231-830-9339
Fax Number
231-737-1464
person
Provider Business Mailing Address Details
Address
6546 Ann Rd
City
Fruitport
State
Michigan
Zip
49415-9616
Phone Number
231-830-9339
Fax Number
231-737-1464
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Day Training/Habilitation Specialist
Speciality
-
Taxonomy
373H00000X
License No.
(Michigan)
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
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