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Organization

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NICOLE RUGGENBUCK (SOCIAL WORKER)
(517) 887-9712
Entity
Organization

Contact information

Practice address
5330 W MICHIGAN AVE, APT 102, LANSING, MI 48917-3364
(517) 219-3334
Mailing address
5330 W MICHIGAN AVE, APT 102, LANSING, MI 48917-3364
(517) 219-3334

Taxonomy

Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
T326398630047
MI

Other

Enumeration date
06/24/2015
Last updated
06/24/2015
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