Individual
JACQUELYN MARIE GARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21885 DUNHAM RD STE 1, CLINTON TOWNSHIP, MI 48036-1030
(586) 469-5950
Mailing address
29100 ROSEMONT ST, ROSEVILLE, MI 48066-2026
(586) 630-2040
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401016577
MI
Other
Enumeration date
03/22/2018
Last updated
03/22/2018
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