Individual
MRS. JESSICA LYNN WORTINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
17940 FARMINGTON RD STE 302, LIVONIA, MI 48152-3159
(734) 480-8150
Mailing address
42119 MARISSA CT., CANTON, MI 48188-4105
(734) 646-3791
(313) 993-1372
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361001783
MI
Other
Enumeration date
02/11/2009
Last updated
08/05/2022
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