Individual
SWANDOLYN CARROLL JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10101 E CANFIELD ST, DETROIT, MI 48214-1501
(313) 852-3124
Mailing address
20512 ROSELAWN ST, DETROIT, MI 48221-1194
(313) 646-6155
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
822956
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
822956
SUBSTANCE ABUSE LISCENCE
MI
Enumeration date
06/22/2007
Last updated
07/08/2007
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