Individual
MISS EMMA CAITLIN JACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
8623 N WAYNE RD STE 201, WESTLAND, MI 48185-1137
(734) 513-7598
Mailing address
8623 N WAYNE RD STE 201, WESTLAND, MI 48185-1137
(734) 513-7598
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/10/2014
Last updated
08/10/2014
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