person
Mrs. Laverne D. Smith-rudolph
Addiction (Substance Use Disorder) Counselor in Detroit, Michigan
NPI 1104059567

Laverne D. Smith-rudolph is an Addiction (Substance Use Disorder) Counselor based in Detroit, MI and is specialized in Addiction (Substance Use Disorder). Laverne D. Smith-rudolph practices in Detroit, MI. The NPI Number for Laverne D. Smith-rudolph is 1104059567 and holds a License No. (Michigan).

The current practice location address for Laverne D. Smith-rudolph is 17131 Gitre St, Detroit, MI and can be reached out via phone at 313-245-4357 and via fax at 313-371-6139.

Location: 17131 Gitre St, Detroit, MI, 48205-3161
person
Provider Profile Details
NPI Number
1104059567
Provider Name
Laverne D. Smith-rudolph
Credential
Provider Entity Type
Individual
Gender
Female
Address
17131 Gitre St, Detroit, MI, 48205-3161
Phone Number
313-245-4357
Fax Number
313-371-6139
Provider Enumeration Date
09/01/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
17131 Gitre St
City
State
Zip
48205-3161
Phone Number
313-245-4357
Fax Number
313-371-6139
person
Provider Business Mailing Address Details
Address
17131 Gitre St
City
State
Zip
48205-3161
Phone Number
313-245-4357
Fax Number
313-371-6139
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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