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1174883888
JESSICA EMILY KOTA
DETROIT, MI
NPI
1174883888
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801094178)
Enumeration Date
2012-05-29
Last Update Date
2012-05-29
Business Address
-- JESSICA EMILY KOTA llmsw
4880 LAWNDALE ST
DETROIT, MI 48210-2010
Phone number: 313-846-6030
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Mailing Address
-- JESSICA EMILY KOTA llmsw
5315 RAVENSWOOD RD
KIMBALL, MI 48074-3215
Phone number: 517-614-0394
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