Jackson, Gloria

Jackson, Gloria is an sole proprietor health care provider with primary practice located at 220 W Congress St Fl 2 , Detroit MI 48226-3289. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jackson, Gloria can be contacted via phone (313) 963-4979.

Contact Information

Primary practice address
220 W Congress St Fl 2 Detroit MI 48226-3289
Phone: (313) 963-4979
Fax: (313) 963-4997
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801019214 Michigan

Profile Details

NPI number 1205874369
LBN Legal business name Jackson, Gloria
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 2nd, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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