Hawanya Jackson

NPI 1407262447 - Case Management - 251B00000X

NPI Details
NPI 1407262447
Enumeration Date 07/10/2014
Last Updated 07/10/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name HAWANYA ABENA HAWANYA
Position INDEPENDENT SUPPORT COORDINATOR
Phone (313) 942-5230
Fax
Practice Location
2425 ATKINSON ST
DETROIT MI, 48206-2057, US
Phone (313) 942-5230
Fax
Business Location
2425 ATKINSON ST
DETROIT MI, 48206-2057, US
Phone (313) 942-5230
Fax
Toxanomy
Taxonomy Code 251B00000X
License State Michigan
License Number 6803085548
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According to our database, Hawanya Jackson NPI is 1407262447, taxonomy code is 251B00000X and license number is 6803085548, license state is located at Michigan. Hawanya Jackson physically located at 2425 Atkinson St, Detroit MI, 48206-2057. NPI Number 1033115704 has the healthcare provider type.

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1407262447 NPI number is provided on an as is basis without warranty of any kind. 1407262447 is maintained by the National Plan & Provider Enumeration System. The contents of Hawanya Jackson are for informational purposes only.