Individual
JOSEPHINE MAKRUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
22800 HALL RD STE 240, CLINTON TOWNSHIP, MI 48036-4805
(517) 676-5405
(517) 676-5460
Mailing address
585 JEWETT RD, MASON, MI 48854-8729
(517) 676-5405
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6401014059
MI
Other
Enumeration date
06/05/2014
Last updated
06/05/2014
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