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Individual

JAQUALECYN ELYSE BRENNAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
1169 OAK VALLEY DR, ANN ARBOR, MI 48108
(734) 222-9800
Mailing address
1169 OAK VALLEY DR, ANN ARBOR, MI 48108
(734) 222-9800

Taxonomy

Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary

Other

Enumeration date
09/01/2018
Last updated
09/01/2018
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