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Stephanie Jackson, LBSW, QMHP, QIDP
NPI 1255713723 · on the registry since 2015 · sole proprietor
Practice
- Address
- 32229 Schoolcraft Rd
Livonia, MI 48150 - Phone
- (734) 261-7530
- Fax
- (734) 261-4192
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- Social Worker
104100000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-06-22
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