Jacquelyn Elyoussef

NPI #1558811331 in Dearborn Heights, Michigan

Provider Information

NPI Number: 1558811331
Entity Type: Individual
Name: Jacquelyn Elyoussef
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Oct 5, 2016
Last Updated: Jul 19, 2018

Practice Location

Address: 3930 ACADEMY ST
City: Dearborn Heights
State: Michigan
ZIP Code: 48125
Phone: (313) 804-1888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X
Technician, Other	247200000X	Primary

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