Individual
JERICHO DETHERAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
1050 W UNIVERSITY DR, ROCHESTER, MI 48307-1877
(586) 944-2902
Mailing address
9147 PITTSFIELD ST, COMMERCE TWP, MI 48382-4463
(248) 980-1232
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6851121260
MI
Other
Enumeration date
01/14/2026
Last updated
01/14/2026
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