Individual
MS. JERISHA L WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLBSW
Contact information
Practice address
2925 RUSSELL ST, DETROIT, MI 48207-4825
(313) 396-5300
(313) 784-1003
Mailing address
1536 MARION AVE, LINCOLN PARK, MI 48146-2118
(313) 378-4120
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802089492
MI
Other
Enumeration date
06/23/2017
Last updated
03/17/2018
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