LAVERNE D. SMITH-RUDOLPH

DETROIT, MI
NPI1104059567
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2009-09-01
Last Update Date2009-09-01
Business Address
Mrs. LAVERNE D. SMITH-RUDOLPH
17131 GITRE ST
DETROIT, MI 48205-3161
Phone number: 313-245-4357
Mailing Address
Mrs. LAVERNE D. SMITH-RUDOLPH
17131 GITRE ST
DETROIT, MI 48205-3161
Phone number: 313-245-4357
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