Individual
JERREN WEEKES-KANU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
41086 WILLIAMSBURG BLVD, CANTON, MI 48187-3878
(248) 990-5780
Mailing address
41086 WILLIAMSBURG BLVD, CANTON, MI 48187-3878
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
6301015751
MI
Other
Enumeration date
12/21/2015
Last updated
12/21/2015
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