ELLEN LORD

CHARLEVOIX, MI
NPI1598973182
Other NameRUTH ELLEN LORD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163WC0400X Registered Nurse, Case Management
(Licence: MI  4704083965)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MI  200695)
163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: MI  4704083965)
Enumeration Date2007-05-18
Last Update Date2009-11-09
Business Address
Ms. ELLEN LORD RN,MA,CAC-R,CCM
1005 MAY ST STE A
CHARLEVOIX, MI 49720-9380
Phone number: 231-883-7738
Mailing Address
Ms. ELLEN LORD RN,MA,CAC-R,CCM
PO BOX 61 1005 MAY STREET, SUITE A
CHARLEVOIX, MI 49720-0061
Phone number: 231-883-7738