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Individual

MS. ELLEN L. TRIPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LLP

Contact information

Practice address
G3247 BEECHER RD, FLINT, MI 48532-3642
(810) 720-4357
(810) 720-1978
Mailing address
16498 VINTAGE DR, FENTON, MI 48430-8986
(810) 629-7486

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6301006586
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0995827
HEALTH PLUS (BEECHER)
MI
01
0999610
HEALTH PLUS (DIXIE)
MI
Enumeration date
03/13/2007
Last updated
07/08/2007
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