Most Relevant Information
Provider Data
| NPI Number: | 1003653668 |
| Provider Name: | ANASTASIA C JIMERSON |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/11/2024 |
| Last Updated: | 07/11/2024 |
Provider Practice Location
6309 MACK AVE
DETROIT
MI
482072302
Practice Location Phone/Fax
| Phone: | 2489091139 |
| Fax: |
Provider Mailing Location
6309 MACK AVE
DETROIT
MI
482072302
Provider Mailing Phone/Fax
| Phone: | 2489091139 |
| Fax: |