Individual
JESSICA HENDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3820 PACKARD ST STE 250, ANN ARBOR, MI 48108-5017
(734) 780-7338
Mailing address
3820 PACKARD ST STE 250, ANN ARBOR, MI 48108-5017
(734) 249-0641
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801096515
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6801096515
—
MI
Enumeration date
07/14/2014
Last updated
08/08/2022
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