Individual
BERNADETTE RUPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMSW, CAC-I
Contact information
Practice address
4777 E OUTER DRIVE, DETROIT, MI 48234
(313) 369-5000
(313) 369-5545
Mailing address
28000 DEQUINDRE RD, WARREN, MI 48092
(586) 753-0405
(586) 753-0404
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801034915
MI
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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