Individual provider · Type 1 NPI

Jacqueline Godin

Student in an Organized Health Care Education/Training Program · Westland, MI

NPI number 1699381152 Active

Practice location

30555 Michigan Ave
Westland, MI 48186-5310

Call (313) 924-7860 Map

Mailing address

1748 Superior Blvd
Wyandotte, MI 48192-4823

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1699381152

Jacqueline Godin's National Provider Identifier is 1699381152, issued on Sep 21, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Westland, MI. The record was last updated on Sep 21, 2020.