Individual
JONATHAN LAYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LLBSW
Contact information
Practice address
10 PETERBORO ST, DETROIT, MI 48201-2722
(313) 831-3160
(313) 826-0567
Mailing address
1776 HAMLET DR, SUPERIOR TWP, MI 48198-3663
(248) 247-9447
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802090925
MI
Other
Enumeration date
09/02/2020
Last updated
09/12/2020
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