NICOLE VANESSA JACKSON

LIVONIA, MI
NPI1841420346
Former NameNICOLE VANESSA VAUGHN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6801089011)
Enumeration Date2009-07-17
Last Update Date2022-07-11
Business Address
Mrs. NICOLE VANESSA JACKSON LMSW
39293 PLYMOUTH RD STE 109A
LIVONIA, MI 48150-1060
Phone number: 734-521-6579
Mailing Address
Mrs. NICOLE VANESSA JACKSON LMSW
39293 PLYMOUTH RD SUITE 109A
LIVONIA, MI 48150-1060
Phone number: 734-521-6579
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