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1326699182
JAIMMIE ILANA WITUCKI
TROY, MI
NPI
1326699182
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Former Name
JAIMMIE ILANA KOSS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: MI 6801105488)
Enumeration Date
2019-09-24
Last Update Date
2023-08-28
Business Address
MRS. JAIMMIE ILANA WITUCKI LMSW
625 E BIG BEAVER RD STE 200
TROY, MI 48083-1434
Phone number: 586-863-4000
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Mailing Address
MRS. JAIMMIE ILANA WITUCKI LMSW
23741 REYNOLDS AVE
HAZEL PARK, MI 48030-1448
Phone number: 248-798-2538
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