Individual
JACKIE TUBARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW/LBSW
Contact information
Practice address
2941 S GULLEY RD, DEARBORN, MI 48124-3160
(313) 278-3040
(313) 278-8671
Mailing address
2941 S GULLEY RD, DEARBORN, MI 48124-3160
(313) 278-3040
(313) 278-8671
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802062936
MI
Other
Enumeration date
07/21/2015
Last updated
07/21/2015
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