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Individual

JACQUELINE WHITFIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
35425 W MICHIGAN AVE, WAYNE, MI 48184-9800
(734) 329-6589
(734) 326-1792
Mailing address
35425 W MICHIGAN AVE, WAYNE, MI 48184-9800
(734) 329-6589
(734) 326-1792

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MI

Other

Enumeration date
08/14/2023
Last updated
08/14/2023
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