Individual
JESSICA ABU AITAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
1100 CORPORATE OFFICE DR STE 100, MILFORD, MI 48381-5011
(248) 321-8341
Mailing address
1100 CORPORATE OFFICE DR STE 100, MILFORD, MI 48381-5011
(248) 250-2842
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6851119033
MI
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
6951119033
MI
Other
Enumeration date
06/03/2020
Last updated
10/31/2024
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