Individual
JANNIE PANG MOWG HER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
220 BAGLEY ST, DETROIT, MI 48226-1400
(313) 961-0346
Mailing address
7567 CADILLAC AVE, WARREN, MI 48091-2626
(586) 214-1660
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801088657
MI
Other
Enumeration date
08/23/2007
Last updated
08/23/2007
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