Individual
MR. JACOB JOSEPH RAYIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
28175 HAGGERTY RD, NOVI, MI 48377-2903
(734) 265-0841
Mailing address
20965 POTOMAC ST, SOUTHFIELD, MI 48076-2385
(248) 504-7949
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6801104665
MI
104100000X
Social Worker
Primary
6801115703
MI
1041C0700X
Clinical Social Worker
6801104665
MI
Other
Enumeration date
07/30/2021
Last updated
07/07/2023
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