JESSICA EMILY KOTA

DETROIT, MI
NPI1174883888
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6801094178)
Enumeration Date2012-05-29
Last Update Date2012-05-29
Business Address
-- JESSICA EMILY KOTA llmsw
4880 LAWNDALE ST
DETROIT, MI 48210-2010
Phone number: 313-846-6030
Mailing Address
-- JESSICA EMILY KOTA llmsw
5315 RAVENSWOOD RD
KIMBALL, MI 48074-3215
Phone number: 517-614-0394