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1104191626
JANNICE KING
DETROIT, MI
NPI
1104191626
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-03-16
Last Update Date
2012-03-16
Business Address
-- JANNICE KING AGS, BSW, CAC-D
445 LEDYARD ST
DETROIT, MI 48201-2641
Phone number: 313-962-9446
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Mailing Address
-- JANNICE KING AGS, BSW, CAC-D
445 LEDYARD ST
DETROIT, MI 48201-2641
Phone number: 313-962-9446
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