Individual
OLUCHUKWU JESSICA AZUMAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
707 W MILWAUKEE ST, DETROIT, MI 48202-2943
(313) 833-2500
Mailing address
707 W MILWAUKEE ST, DETROIT, MI 48202-2943
(313) 833-2500
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
247200000X
Other Technician
Primary
6803087010
MI
Other
Enumeration date
01/26/2018
Last updated
02/10/2025
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