Most Relevant Information
Provider Data
| NPI Number: | 1003469842 |
| Provider Name: | MONICA JEWELL EAGLE LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 6801113999 |
Most Important Dates
| Enumeration Date: | 07/22/2019 |
| Last Updated: | 11/05/2024 |
Provider Practice Location
4925 PACKARD ST
ANN ARBOR
MI
481081521
Practice Location Phone/Fax
| Phone: | 7349719781 |
| Fax: |
Provider Mailing Location
1000 VICTORS WAY
ANN ARBOR
MI
481082744
Provider Mailing Phone/Fax
| Phone: | 7349736779 |
| Fax: | 7349736609 |