Individual
ALIJAH JONAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2820 BAKER RD STE 100, DEXTER, MI 48130-1196
(734) 649-6348
(734) 580-2922
Mailing address
2820 BAKER RD STE 100, DEXTER, MI 48130-1196
(734) 649-6348
(734) 580-2922
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6801106325
MI
1041C0700X
Clinical Social Worker
Primary
6801114202
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801114202
STATE OF MICHIGAN - DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS
MI
Enumeration date
01/19/2020
Last updated
03/30/2023
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