Latonya Archie-Jackson

NPI #1649646654 in Inkster, Michigan

Provider Information

NPI Number: 1649646654
Entity Type: Individual
Name: Latonya Archie-Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Aug 12, 2015
Last Updated: Aug 12, 2015

Practice Location

Address: 30000 HIVELEY ST
City: Inkster
State: Michigan
ZIP Code: 48141-1089
Phone: (313) 779-5984

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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