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Individual

JACALYN JOY HENLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
24763 CHRISTINA LN, NOVI, MI 48375-2309
(313) 506-5376
(248) 719-7632
Mailing address
24763 CHRISTINA LN, NOVI, MI 48375-2309
(313) 506-5376
(248) 719-7632

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
08/03/2021
Last updated
08/03/2021
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