person
Mr. Willie Jefferson
Day Training/Habilitation Specialist in Port Huron, Michigan
NPI 1932212453

Willie Jefferson is a Day Training/Habilitation Specialist based in Port Huron, MI. Willie Jefferson practices in Port Huron, MI. The NPI Number for Willie Jefferson is 1932212453 and holds a License No. (Michigan).

The current practice location address for Willie Jefferson is 230 Huron Ave, Port Huron, MI and can be reached out via phone at 810-966-4473 and via fax at 810-985-9498.

Location: 230 Huron Ave, Port Huron, MI, 48060-3822
person
Provider Profile Details
NPI Number
1932212453
Provider Name
Willie Jefferson
Credential
Provider Entity Type
Individual
Gender
Male
Address
230 Huron Ave, Port Huron, MI, 48060-3822
Phone Number
810-966-4473
Fax Number
810-985-9498
Provider Enumeration Date
08/17/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
230 Huron Ave
City
State
Zip
48060-3822
Phone Number
810-966-4473
Fax Number
810-985-9498
person
Provider Business Mailing Address Details
Address
230 Huron Ave
City
State
Zip
48060-3822
Phone Number
810-966-4473
Fax Number
810-985-9498
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Day Training/Habilitation Specialist
Speciality
-
Taxonomy
License No.
()
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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