Individual
JARONICA MARIE WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
575 S MAIN ST STE 6, PLYMOUTH, MI 48170-1778
(734) 451-7800
Mailing address
33040 PARKHILL ST APT 302, WAYNE, MI 48184-1348
(313) 721-5525
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
XXXXXXXX
MI
171M00000X
Case Manager/Care Coordinator
Primary
—
MI
247200000X
Other Technician
—
—
Other
Enumeration date
07/09/2019
Last updated
09/02/2025
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