Individual
MS. EMILY BROOKE JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 S RAISINVILLE RD, MONROE, MI 48161-9754
(734) 384-8737
(734) 243-5506
Mailing address
1765 MUEHLEISEN RD, DUNDEE, MI 48131-9743
(734) 384-8737
(734) 243-5506
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802087057
MI
Other
Enumeration date
05/22/2012
Last updated
05/22/2012
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