Laverne D. Smith-rudolph

NPI 1104059567 - Counselor - 101YA0400X

NPI Details
NPI 1104059567
Gender Female
Enumeration Date 09/01/2009
Last Updated 09/01/2009
Entity Type Individual
Active Over 8 years ago
Practice Location
17131 GITRE ST
DETROIT MI, 48205-3161, US
Phone (313) 245-4357
Fax (313) 371-6139
Business Location
17131 GITRE ST
DETROIT MI, 48205-3161, US
Phone (313) 245-4357
Fax (313) 371-6139
Toxanomy
Taxonomy Code 101YA0400X
License State
License Number
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According to our database, Mrs. Laverne D. Smith-rudolph NPI is 1104059567, taxonomy code is 101YA0400X Laverne D. Smith-rudolph physically located at 17131 Gitre St, Detroit MI, 48205-3161. NPI Number Laverne D. Smith-rudolph has the Individual type.

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1104059567 NPI number is provided on an as is basis without warranty of any kind. 1104059567 is maintained by the National Plan & Provider Enumeration System. The contents of Laverne D. Smith-rudolph are for informational purposes only.