JERICHO DETHERAGE, LLMSW

Social Worker

Active Individual
NPI: 1295693471

Practice Address

1050 W UNIVERSITY DR
Rochester, MI 48307

Phone: (586) 944-2902

Specialties

Specialty Code Primary License
Social Worker 104100000X Yes 6851121260 (MI)

Frequently Asked Questions

NPI 1295693471 is the National Provider Identifier for JERICHO DETHERAGE, LLMSW, a Social Worker provider located in Rochester, MI. This NPI was enumerated on January 14, 2026.
JERICHO DETHERAGE, LLMSW practices at 1050 W UNIVERSITY DR, Rochester, MI 48307.

Quick Facts

NPI
1295693471
Type
Individual
Enumerated
Jan 14, 2026
Last Updated
Jan 14, 2026

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