Individual
BRENDA KAY ROUSSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1000 W CEDAR ST, STANDISH, MI 48658-9421
(989) 846-4573
Mailing address
685 MAIN ST, PO BOX 207, OMER, MI 48749
(989) 846-4573
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801065423
MI
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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