MICOLE JANELLE JAMESON

LIVONIA, MI
NPI1154823805
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
Additional Taxonomies106S00000X Behavior Technician
(Licence: MI  x120)
Enumeration Date2018-03-08
Last Update Date2023-07-17
Business Address
MICOLE JANELLE JAMESON CPSS
33505 SCHOOLCRAFT RD
LIVONIA, MI 48150-1503
Phone number: 734-629-2774
Mailing Address
MICOLE JANELLE JAMESON CPSS
707 W MILWAUKEE ST
DETROIT, MI 48202-2943
Phone number: 313-344-9099
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