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Individual

DR. JESSICA ROSE ELLEM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
2215 FULLER ROAD, MENTAL HEALTH SERVICE LINE, ANN ARBOR, MI 48105
(734) 769-7100
Mailing address
7341 WILDERNESS PARK DR APT 303, WESTLAND, MI 48185-5974
(813) 468-8621

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6351004650
MI

Other

Enumeration date
03/18/2024
Last updated
03/18/2024
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