Individual
ELANA JUDITH ROTHSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22170 W 9 MILE RD, SOUTHFIELD, MI 48033-6007
(248) 485-8626
Mailing address
22170 W 9 MILE RD, SOUTHFIELD, MI 48033-6007
(248) 485-8626
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801096459
MI
Other
Enumeration date
03/24/2014
Last updated
03/24/2014
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