NPI 1023582509

Jelani Ahmed Wooten

Practitioner Case Management Agency Detroit, MI

Practice location

Address: 65 Cadillac Sq STE 3000, Detroit, MI 48226-2880
Phone: (313) 949-2693

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X

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Registry record

NPI: 1023582509
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Jan 2019
Record last updated: 17 Jan 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.