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Organization
DOLUGE BEHAVIORAL SERVICES, PLLC
Active
Organization
DOLUGE BEHAVIORAL SERVICES, PLLC
Active
Other names
Gloria Jackson
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GLORIA JACKSON LMSW, ACSW, BCD (CEO)
(313) 963-7949
Entity
Organization
Contact information
Practice address
220 W CONGRESS ST FL 2, DETROIT, MI 48226-3289
(313) 963-4979
(313) 963-4997
Mailing address
220 W CONGRESS ST FL 2, DETROIT, MI 48226-3289
(313) 963-4979
(313) 963-4997
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801019214
MI
Other
Enumeration date
10/12/2006
Last updated
08/22/2020
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