Individual
JELANI AHMED WOOTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
65 CADILLAC SQ STE 3000, DETROIT, MI 48226-2880
(313) 949-2693
Mailing address
65 CADILLAC SQ STE 3000, DETROIT, MI 48226-2880
(313) 962-6740
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
MI
Other
Enumeration date
01/17/2019
Last updated
01/17/2019
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