Individual
JEWELL BALTIMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 W MCNICHOLS RD, DETROIT, MI 48203-2703
(313) 867-8015
(313) 867-8040
Mailing address
1449 W PHILADELPHIA ST, DETROIT, MI 48206-2428
(313) 867-8015
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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