Jacqueline Baskerville

NPI #1457947228 in Harper Woods, Michigan

Provider Information

NPI Number: 1457947228
Entity Type: Individual
Name: Jacqueline Baskerville
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Dec 16, 2020
Last Updated: Dec 16, 2020

Practice Location

Address: 20303 KELLY RD
City: Harper Woods
State: Michigan
ZIP Code: 48225-1206
Phone: (313) 737-0710

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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