Individual
JESSICA PRENTISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 CONNER ST, DETROIT, MI 48215-2407
(586) 484-7341
Mailing address
2900 CONNER ST, DETROIT, MI 48215-2407
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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