JAQUITA DEVINA-SHIRLEY GREEN

CANTON, MI
NPI1841812492
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  128542)
Enumeration Date2020-05-16
Last Update Date2025-10-24
Business Address
JAQUITA DEVINA-SHIRLEY GREEN
40690 REISA LN APT 203
CANTON, MI 48188-1380
Phone number: 313-405-6602
Mailing Address
JAQUITA DEVINA-SHIRLEY GREEN
40690 REISA LN APT 203
CANTON, MI 48188-1380
Phone number: 313-405-6602