ELLAINA RENEE RUDOLPH

HIGHLAND PARK, MI
NPI1730668906
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-08-09
Last Update Date2018-08-09
Business Address
ELLAINA RENEE RUDOLPH
12501 HAMILTON AVE
HIGHLAND PARK, MI 48203-3243
Phone number: 313-865-1580
Mailing Address
ELLAINA RENEE RUDOLPH
1989 VIRGINIA PARK ST
DETROIT, MI 48206-2421
Phone number: 313-784-6761
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