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1548953128
JERISSA OWENS
DEARBORN, MI
NPI
1548953128
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6851115722)
Enumeration Date
2023-05-31
Last Update Date
2023-05-31
Business Address
JERISSA OWENS LLMSW
1 PARKLANE BLVD STE 200E
DEARBORN, MI 48126-2400
Phone number: 313-846-2606
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Mailing Address
JERISSA OWENS LLMSW
2013 ROCK WAY
LANSING, MI 48910-6508
Phone number: 517-580-9571
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