SHANTANIQUE JACKSON

WESTLAND, MI
NPI1396310595
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2021-05-21
Last Update Date2021-05-21
Business Address
SHANTANIQUE JACKSON
35300 NANKIN BLVD
WESTLAND, MI 48185-7222
Phone number: 888-355-5433
Mailing Address
SHANTANIQUE JACKSON
205 E JOLLY RD APT A10
LANSING, MI 48910-6684
Phone number:
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