Individual
MRS. LAVERNE D. SMITH-RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17131 GITRE ST, DETROIT, MI 48205-3161
(313) 245-4357
(313) 371-6139
Mailing address
17131 GITRE ST, DETROIT, MI 48205-3161
(313) 245-4357
(313) 371-6139
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/01/2009
Last updated
09/01/2009
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