Individual
GAY L JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
444 MOROSS RD, GROSSE POINTE FARMS, MI 48236-2952
(313) 402-2441
Mailing address
444 MOROSS RD, GROSSE POINTE FARMS, MI 48236-2952
(313) 402-2441
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
6851104013
MI
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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