Individual
JORDAN YAGIELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1940 LUDINGTON STREET, WYANDOTTE, MI 48192
(734) 484-2758
Mailing address
32 N WASHINGTON ST, SUITE 1, YPSILANTI, MI 48197-2662
(248) 763-5248
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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