Individual
JAELLE WAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
3322 W GRAND ST, DETROIT, MI 48238-2784
(313) 614-8827
Mailing address
3322 W GRAND ST, DETROIT, MI 48238-2784
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
374J00000X
Doula
Primary
—
—
Other
Enumeration date
11/08/2025
Last updated
11/11/2025
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