Organization
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Active
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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