ALTROSIUS J JACKSON

DETROIT, MI
NPI1659585065
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-05-09
Last Update Date2007-07-08
Business Address
Ms. ALTROSIUS J JACKSON
8809 JOHN C. LODGE
DETROIT, MI 48202
Phone number: 313-887-6749
Mailing Address
Ms. ALTROSIUS J JACKSON
8809 JOHN C. LODGE
DETROIT, MI 48202
Phone number: 313-887-6749
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