Individual
EBONY HARVEY-JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
19323 STANSBURY ST, DETROIT, MI 48235-1733
(313) 215-6395
Mailing address
19323 STANSBURY ST, DETROIT, MI 48235-1733
(313) 215-6395
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6801085319
MI
247000000X
Health Information Technician
Primary
—
—
Other
Enumeration date
12/08/2014
Last updated
04/02/2015
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