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1124235296
CARMEN JACKSON JOEL
DETROIT, MI
NPI
1124235296
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-05-17
Last Update Date
2007-07-08
Business Address
Mrs. CARMEN JACKSON JOEL Bachleor of Arts
12089 PENROD ST
DETROIT, MI 48228-1171
Phone number: 313-865-1500
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Mailing Address
Mrs. CARMEN JACKSON JOEL Bachleor of Arts
12089 PENROD ST
DETROIT, MI 48228-1171
Phone number: 313-865-1500
Copy
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