Individual
JANNA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 492-6629
Mailing address
28551 GOLF POINTE BLVD, FARMINGTON HILLS, MI 48331-2991
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6851109408
MI
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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