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Individual

AALIYAH ANJANIQUE LARKIN-JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
24600 NORTHWESTERN HWY, SOUTHFIELD, MI 48075-2471
(248) 745-4900
Mailing address
8920 NOTTINGHAM DR, YPSILANTI, MI 48198-3228
(734) 961-2536

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
07/05/2022
Last updated
07/05/2022
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