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1073631453
JEWELL BALTIMORE
DETROIT, MI
NPI
1073631453
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-03-26
Last Update Date
2007-07-08
Business Address
-- JEWELL BALTIMORE
300 W MCNICHOLS RD
DETROIT, MI 48203-2703
Phone number: 313-867-8015
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Mailing Address
-- JEWELL BALTIMORE
1449 W PHILADELPHIA ST
DETROIT, MI 48206-2428
Phone number: 313-867-8015
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