Individual
A'LASTINE MARIE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
9534 CHAMBERLAIN ST, ROMULUS, MI 48174-1536
(269) 267-2771
Mailing address
9534 CHAMBERLAIN ST, ROMULUS, MI 48174-1536
(269) 267-2771
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
MI
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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