Individual
RUTHLENE DUERO FENLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 S GARFIELD AVE, TRAVERSE CITY, MI 49686-2404
(231) 645-2766
Mailing address
1010 S GARFIELD AVE, TRAVERSE CITY, MI 49686-3434
(231) 645-2766
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6851115556
MI
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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