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Individual

MADISON JANE ACKERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LLBSW

Contact information

Practice address
35425 W MICHIGAN AVE, WAYNE, MI 48184-9800
(734) 476-0145
Mailing address
35425 W MICHIGAN AVE, WAYNE, MI 48184-9800

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6802089266
MI

Other

Enumeration date
08/12/2021
Last updated
08/08/2024
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