Individual
MRS. EMILY ELISE RUBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3374 WEMPLE RD, TRAVERSE CITY, MI 49686-8160
(734) 788-5362
Mailing address
3374 WEMPLE RD, TRAVERSE CITY, MI 49686-8160
(734) 788-5362
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401018961
MI
Other
Enumeration date
10/25/2022
Last updated
10/25/2022
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