RUDOLOFO MENCHACA

PORT HURON, MI
NPI1588819742
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6801088438)
Enumeration Date2008-12-01
Last Update Date2008-12-01
Business Address
-- RUDOLOFO MENCHACA LMSW
1209 RICHARDSON ST
PORT HURON, MI 48060-3548
Phone number: 810-984-5156
Mailing Address
-- RUDOLOFO MENCHACA LMSW
1209 RICHARDSON ST
PORT HURON, MI 48060-3548
Phone number: 810-984-5156