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1588819742
RUDOLOFO MENCHACA
PORT HURON, MI
NPI
1588819742
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: MI 6801088438)
Enumeration Date
2008-12-01
Last Update Date
2008-12-01
Business Address
RUDOLOFO MENCHACA LMSW
1209 RICHARDSON ST
PORT HURON, MI 48060-3548
Phone number: 810-984-5156
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Mailing Address
RUDOLOFO MENCHACA LMSW
1209 RICHARDSON ST
PORT HURON, MI 48060-3548
Phone number: 810-984-5156
Copy
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