Individual
AERYN LYNN RUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17650 E 9 MILE RD, EASTPOINTE, MI 48021-2564
(586) 218-8570
Mailing address
20910 HUNT DR, ROSEVILLE, MI 48066-2219
(586) 946-4852
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/20/2021
Last updated
01/20/2021
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