STEPHANIE JACKSON

LIVONIA, MI
NPI1255713723
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: MI  6802078258)
Enumeration Date2015-06-22
Last Update Date2015-06-22
Business Address
-- STEPHANIE JACKSON LBSW, QMHP, QIDP
32229 SCHOOLCRAFT RD
LIVONIA, MI 48150-4302
Phone number: 734-261-7530
Mailing Address
-- STEPHANIE JACKSON LBSW, QMHP, QIDP
32229 SCHOOLCRAFT RD
LIVONIA, MI 48150-4302
Phone number: 734-261-7530
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