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1164832200
ANGELL LOVE-JACKSON
DETROIT, MI
NPI
1164832200
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801072692)
Enumeration Date
2014-04-29
Last Update Date
2014-04-29
Business Address
-- ANGELL LOVE-JACKSON
20100 GREENFIELD RD
DETROIT, MI 48235-1803
Phone number: 313-342-2699
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Mailing Address
-- ANGELL LOVE-JACKSON
15139 GLASTONBURY AVE
DETROIT, MI 48223-3602
Phone number: 313-835-1541
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