Individual
JENEE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
555 TOWNER ST, YPSILANTI, MI 48198-5752
(734) 548-4353
Mailing address
2445 LAKESHORE BLVD, APT 740, YPSILANTI, MI 48198-6921
(734) 664-8586
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801100202
MI
Other
Enumeration date
08/26/2016
Last updated
08/26/2016
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