TRACEE LOUISE JACKSON

DETROIT, MI
NPI1144573338
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MI  6401011830)
Enumeration Date2012-10-25
Last Update Date2012-10-25
Business Address
-- TRACEE LOUISE JACKSON LLPC
79 W ALEXANDRINE ST
DETROIT, MI 48201-2015
Phone number: 313-831-5535
Mailing Address
-- TRACEE LOUISE JACKSON LLPC
79 W ALEXANDRINE ST
DETROIT, MI 48201-2015
Phone number:
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