Individual
RONALD RUTKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MALLP,BSW
Contact information
Practice address
22900 REMICK DR, CLINTON TWP, MI 48036-2732
(586) 783-4802
(586) 783-4805
Mailing address
22900 REMICK DR, CLINTON TWP, MI 48036-2732
(586) 783-4802
(586) 783-4805
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6301007294/680201746
MI
Other
Enumeration date
09/19/2007
Last updated
10/01/2007
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