Individual
JAMIE NICOLE WADSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5111 AUTO CLUB DR STE 112, DEARBORN, MI 48126-2684
(248) 536-5085
Mailing address
5111 AUTO CLUB DR STE 112, DEARBORN, MI 48126-2684
(248) 536-5085
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
MI
Other
Enumeration date
05/23/2024
Last updated
04/15/2026
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