JADE ELLENBROOK

DEARBORN, MI
NPI1295134732
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: MI  6361006204)
Enumeration Date2014-08-21
Last Update Date2023-09-25
Business Address
Mrs. JADE ELLENBROOK MA, LLP
23810 MICHIGAN AVE
DEARBORN, MI 48124-1830
Phone number: 313-757-1391
Mailing Address
Mrs. JADE ELLENBROOK MA, LLP
23810 MICHIGAN AVE
DEARBORN, MI 48124-1830
Phone number: 313-757-1391
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