Individual
MS. JENNIFER ANN GOSSETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
1055 CORNELL STREET, AUTISM COLLABORATIVE CENTER, YPSILANTI, MI 48197
(734) 487-2890
(734) 485-2892
Mailing address
1055 CORNELL STREET, AUTISM COLLABORATIVE CENTER, YPSILANTI, MI 48197
(734) 485-2890
(734) 487-2890
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
56112
MI
Other
Enumeration date
01/18/2011
Last updated
08/30/2012
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