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1295134732
JADE ELLENBROOK
DEARBORN, MI
NPI
1295134732
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MI 6361006204)
Enumeration Date
2014-08-21
Last Update Date
2023-09-25
Business Address
Mrs. JADE ELLENBROOK MA, LLP
23810 MICHIGAN AVE
DEARBORN, MI 48124-1830
Phone number: 313-757-1391
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Mailing Address
Mrs. JADE ELLENBROOK MA, LLP
23810 MICHIGAN AVE
DEARBORN, MI 48124-1830
Phone number: 313-757-1391
Copy
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