Individual
LYNDA ROCHELLE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2995 E GRAND BLVD, DETROIT, MI 48202-3133
(313) 758-0150
Mailing address
2995 E GRAND BLVD, DETROIT, MI 48202-3133
(313) 758-0150
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
About Stedi
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