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1548939861
JOHNIESHA JACQUES
DETROIT, MI
NPI
1548939861
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2021-09-09
Last Update Date
2021-11-29
Business Address
JOHNIESHA JACQUES
24424 W MCNICHOLS RD
DETROIT, MI 48219-3653
Phone number: 313-531-2500
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Mailing Address
JOHNIESHA JACQUES
27400 FRANKLIN RD APT B801
SOUTHFIELD, MI 48034-2358
Phone number: 313-614-5170
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