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1053985838
JACQUELYN DIANE SUMMERLIN
DETROIT, MI
NPI
1053985838
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MI 6801015744)
Enumeration Date
2021-05-17
Last Update Date
2021-05-17
Business Address
JACQUELYN DIANE SUMMERLIN
740 W. MILWAUKEE
DETROIT, MI 48202
Phone number: 313-344-9099
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Mailing Address
JACQUELYN DIANE SUMMERLIN
740 W. MILWAUKEE
DETROIT, MI 48202
Phone number: 313-344-9099
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