Individual
JEERNA SUSAN MEADOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6984 LAKEVIEW BLVD APT 21202, WESTLAND, MI 48185-6641
(313) 574-6534
Mailing address
6984 LAKEVIEW BLVD APT 21202, WESTLAND, MI 48185-6641
(313) 574-6534
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/05/2017
Last updated
07/21/2022
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