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1659845279
RACHEL ELLENTUCK
WEST BLOOMFIELD, MI
NPI
1659845279
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801097384)
Enumeration Date
2019-01-16
Last Update Date
2019-01-16
Business Address
RACHEL ELLENTUCK LMSW
5640 W MAPLE RD STE 205
WEST BLOOMFIELD, MI 48322-3718
Phone number: 248-318-9614
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Mailing Address
RACHEL ELLENTUCK LMSW
6364 RAMWYCK CT
WEST BLOOMFIELD, MI 48322-2251
Phone number: 248-318-9614
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