Jelani Ahmed Wooten

NPI #1023582509 in Detroit, Michigan

Provider Information

NPI Number: 1023582509
Entity Type: Individual
Name: Jelani Ahmed Wooten
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Case Management
Enumeration Date: Jan 17, 2019
Last Updated: Jan 17, 2019

Practice Location

Address: 65 CADILLAC SQ STE 3000
City: Detroit
State: Michigan
ZIP Code: 48226-2880
Phone: (313) 949-2693

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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