Search › Michigan › 1041C0700X
Angell Love-Jackson
NPI 1164832200 · on the registry since 2014 · sole proprietor
Practice
- Address
- 20100 Greenfield Rd
Detroit, MI 48235 - Phone
- (313) 342-2699
- Organisation at this address
- Ennis Center For Children, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-04-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan