Individual
MRS. ASHLEY ROSE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35425 W MICHIGAN AVE, WAYNE, MI 48184-9800
(734) 725-9994
Mailing address
2421 BURNSIDE ST, HAMTRAMCK, MI 48212-2648
(734) 725-9994
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802089266
MI
171M00000X
Case Manager/Care Coordinator
6802089266
MI
Other
Enumeration date
05/12/2022
Last updated
05/14/2025
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