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1518576073
JENNIFER ISHAQ
TROY, MI
NPI
1518576073
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: MI 6362009337)
Enumeration Date
2020-07-30
Last Update Date
2022-07-27
Business Address
JENNIFER ISHAQ PSY MA
1777 AXTELL DR STE 100
TROY, MI 48084-4400
Phone number: 248-862-1171
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Mailing Address
JENNIFER ISHAQ PSY MA
1273 ROSALIE DR
FENTON, MI 48430-9646
Phone number: 810-835-5743
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