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Individual

MISS JESSICA MICHELLE GORAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LLMSW

Contact information

Practice address
26300 OUTER DR, LINCOLN PARK, MI 48146-2019
(313) 388-4630
Mailing address
503 N GAINSBOROUGH AVE, ROYAL OAK, MI 48067-4221
(517) 677-6370

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
106S00000X
Behavior Technician

Other

Enumeration date
10/04/2017
Last updated
05/23/2022
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