Individual
JESSIE J LUCERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
4880 LAWNDALE ST, DETROIT, MI 48210-2010
(313) 846-6030
(313) 846-0150
Mailing address
2985 IROQUOIS ST, DETROIT, MI 48214-1837
(313) 515-1291
(313) 515-1291
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802092534
MI
Other
Enumeration date
08/28/2025
Last updated
08/28/2025
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