Individual
JACQUELINE GODIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30555 MICHIGAN AVE, WESTLAND, MI 48186-5310
(313) 924-7860
Mailing address
1748 SUPERIOR BLVD, WYANDOTTE, MI 48192-4823
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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