Individual
JACQUELYN HEWITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8623 N WAYNE RD STE 301, WESTLAND, MI 48185-1137
(843) 712-5105
Mailing address
8623 N WAYNE RD STE 301, WESTLAND, MI 48185-1137
(843) 712-5105
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/23/2024
Last updated
12/23/2024
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