Individual
JENNIFER JAGUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
9409 N HAGGERTY RD, PLYMOUTH, MI 48170-4696
(734) 559-3540
Mailing address
9409 N HAGGERTY RD, PLYMOUTH, MI 48170-4696
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801098908
MI
Other
Enumeration date
05/04/2016
Last updated
07/02/2021
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