Individual
ELLEN TORCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
16200 19 MILE RD, CLINTON TOWNSHIP, MI 48038-1103
(586) 263-8676
(586) 263-8676
Mailing address
16200 NINETEEN MILE RD, MACOMB OAKLAND REGIONAL CENTER, CLINTON TOWNSHIP, MI 48043-0070
(586) 263-8676
(586) 263-8676
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802063592
MI
Other
Enumeration date
04/01/2009
Last updated
04/01/2009
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