Individual
JESSICA QUICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27173 GATEWAY DR W, APT 302, FARMINGTON HILLS, MI 48334-4983
(248) 756-9073
Mailing address
27173 GATEWAY DR W, APT 302, FARMINGTON HILLS, MI 48334-4983
(248) 756-9073
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401015045
MI
Other
Enumeration date
12/30/2015
Last updated
12/30/2015
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