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1366218398
KRYSTAL LATESE JONES
DETROIT, MI
NPI
1366218398
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-11-30
Last Update Date
2024-05-20
Business Address
Ms. KRYSTAL LATESE JONES
15941 FAIRFIELD ST
DETROIT, MI 48238-4123
Phone number: 313-345-4310
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Mailing Address
Ms. KRYSTAL LATESE JONES
17137 EVERGREEN RD
DETROIT, MI 48219-3402
Phone number: 313-740-0170
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