Individual
JACQUELINE NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
13560 E MCNICHOLS RD, DETROIT, MI 48205-3426
(313) 831-1000
Mailing address
13560 E MCNICHOLS RD, DETROIT, MI 48205-3426
(313) 530-0777
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MI
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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