Individual
MS. DAWN MICHELLE RUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1423 FIELD ST, DETROIT, MI 48214-2321
(313) 347-2070
Mailing address
1423 FIELD ST, DETROIT, MI 48214-2321
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6801090363
MI
Other
Enumeration date
08/27/2008
Last updated
08/27/2008
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