Individual
ELLYN SCHWICKRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
128 S COCHRAN AVE, CHARLOTTE, MI 48813-1510
(517) 325-9090
Mailing address
8131 E JEFFERSON AVE, DETROIT, MI 48214-2610
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801104219
MI
Other
Enumeration date
06/21/2017
Last updated
06/01/2020
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