Individual
MRS. JEANNIE MAE MASSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLBSW
Contact information
Practice address
24230 KARIM BLVD, NOVI, MI 48375-2960
(248) 745-4900
Mailing address
4242 ORR AVE, WARREN, MI 48091-1458
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802089563
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6802089563
BACHELORS OF SOCIAL WORK
MI
Enumeration date
10/20/2017
Last updated
06/16/2018
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