| Doctor Name: | MR. JEFFREY DEVORE |
| NPI Number: | 1417055195 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSW,LMSW,ACSW |
| License Number: | |
| Business Practice Address: | 6777 W Maple Rd W Bloomfield, MI - 483223013 |
| Business Phone Number: | 2486617393 |
| Business Fax Number: | 2486617924 |
| Mailing Address: | 2825 Livernois Rd, TROY |
| State: | MI |
| Postal Code: | 480831214 |
| Phone Number: | 2486802060 |
| Fax Number: | 2486802099 |
| NPI Enumeration Date: | 09/20/2006 |
| NPI Last Update Date: | 08/19/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |