SHANTANIQUE JACKSON

DETROIT, MI
NPI1396310595
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6801119838)
Enumeration Date2021-05-21
Last Update Date2025-03-11
Business Address
SHANTANIQUE JACKSON
24306 CHIPPEWA ST
DETROIT, MI 48219-1058
Phone number: 313-695-6244
Mailing Address
SHANTANIQUE JACKSON
24306 CHIPPEWA ST
DETROIT, MI 48219-1058
Phone number:
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