KIYYO SHIRESE JACKSON

DETROIT, MI
NPI1760899744
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: MI  6803086048)
Enumeration Date2014-07-22
Last Update Date2014-07-22
Business Address
-- KIYYO SHIRESE JACKSON
2925 RUSSELL ST
DETROIT, MI 48207-4825
Phone number: 313-396-5300
Mailing Address
-- KIYYO SHIRESE JACKSON
2925 RUSSELL ST
DETROIT, MI 48207-4825
Phone number: 313-396-5300
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