Individual
JARED WOMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 RENAISSANCE CTR STE 2600, DETROIT, MI 48243-1599
(855) 832-6727
(722) 675-9100
Mailing address
9514 W OUTER DR, DETROIT, MI 48223-1215
(313) 670-8800
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
MI
Other
Enumeration date
11/01/2025
Last updated
11/01/2025
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