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1396743704
ELLEN ROSE TABAK
BLOOMFIELD HILLS, MI
NPI
1396743704
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Former Name
ELLEN ROSE BROOKS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801018478)
Enumeration Date
2005-07-09
Last Update Date
2019-10-07
Business Address
Mrs. ELLEN ROSE TABAK ACSW, M.A.
101 W LONG LAKE RD
BLOOMFIELD HILLS, MI 48304-2749
Phone number: 248-480-4965
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Mailing Address
Mrs. ELLEN ROSE TABAK ACSW, M.A.
1960 GOLF RIDGE DR
BLOOMFIELD HILLS, MI 48302-1725
Phone number: 248-538-9666
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