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Organization

BORN FOR ME LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. EBONY HARVEY-JACKSON LMSW (CEO)
(313) 215-6395
Entity
Organization

Contact information

Practice address
19323 STANSBURY ST, DETROIT, MI 48235-1733
(313) 215-6395
Mailing address
PO BOX 14513, DETROIT, MI 48214-0513
(313) 215-6395

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
6801085319
MI

Other

Enumeration date
05/07/2016
Last updated
05/07/2016
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