Individual
CAROL BURRELL-JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., MSW, LMSW
Contact information
Practice address
3810 PACKARD ST, SUITE 250, ANN ARBOR, MI 48108-2054
(734) 929-6509
(734) 929-6553
Mailing address
3810 PACKARD ST, SUITE 250, ANN ARBOR, MI 48108-2054
(734) 929-6509
(734) 929-6553
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801035881
MI
Other
Enumeration date
07/20/2011
Last updated
07/20/2011
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