Individual
JOYCE JORDAN-SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5575 CONNER ST STE 210, DETROIT, MI 48213-6401
(313) 662-9240
(248) 522-7045
Mailing address
18370 MOTT AVE, EASTPOINTE, MI 48021-2744
(586) 625-2072
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801074749
MI
Other
Enumeration date
03/20/2014
Last updated
03/20/2014
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