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Individual

MS. SHANNON JESSICA JASON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7800 W OUTER DR STE 300, DETROIT, MI 48235-3458
(313) 340-4442
Mailing address
23853 LAWRENCE AVE, DEARBORN, MI 48128-1267

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
09/09/2020
Last updated
09/09/2020
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