NAKYAH IDA-JANISE WOOTEN

DETROIT, MI
NPI1053199257
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies1041C0700X Social Worker, Clinical
Enumeration Date2023-09-19
Last Update Date2023-09-19
Business Address
NAKYAH IDA-JANISE WOOTEN
2925 RUSSELL ST
DETROIT, MI 48207-4825
Phone number: 248-977-7042
Mailing Address
NAKYAH IDA-JANISE WOOTEN
2925 RUSSELL ST
DETROIT, MI 48207-4825
Phone number: 248-977-7042
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