Individual
MISS JADE ERIN MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLBSW
Contact information
Practice address
8415 HURON RIVER DR, WHITE LAKE, MI 48386-2519
(248) 881-9070
Mailing address
8415 HURON RIVER DR, WHITE LAKE, MI 48386-2519
(248) 881-9070
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802088045
MI
Other
Enumeration date
04/14/2014
Last updated
04/14/2014
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