MRS. Jesse-Lyn Sample

NPI #1831508936 in Wayne, Michigan

Provider Information

NPI Number: 1831508936
Entity Type: Individual
Name: MRS. Jesse-Lyn Sample
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Aug 4, 2014
Last Updated: Jun 2, 2015

Practice Location

Address: 35425 W MICHIGAN AVE
City: Wayne
State: Michigan
ZIP Code: 48184-9800
Phone: (734) 722-7498

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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