Most Relevant Information
Provider Data
| NPI Number: | 1003520974 |
| Provider Name: | SHELBY JACQUEMAIN LMSW-C |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 6801113834 |
Most Important Dates
| Enumeration Date: | 01/05/2023 |
| Last Updated: | 01/05/2023 |
Provider Practice Location
3138 HILTON RD
FERNDALE
MI
482201039
Practice Location Phone/Fax
| Phone: | 2482322555 |
| Fax: |
Provider Mailing Location
7040 CHATSWORTH DR
SHELBY TWP
MI
483164434
Provider Mailing Phone/Fax
| Phone: | 5863376963 |
| Fax: |