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Organization

JRS PSYCHOLOGICAL SERVICES PC

Active
Parent organization
JRS PSYCHOLOGICAL SERVICES PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
JRS PSYCHOLOGICAL SERVICES PC
Authorized official
DR. JANINE E RUTKOWSKI 5867720865 (TREASURER JRS PSYCHOLOGICAL SERVICE)
(586) 772-0865
Entity
Organization

Contact information

Practice address
21200 RAVEN, JRS PSYCHOLOGICAL SERVICES PC, EASTPOINTE, MI 48021
(586) 772-0865
Mailing address
21200 RAVEN AVE, EASTPOINTE, MI 48021-3209
(586) 772-0868

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301001362
MI

Other

Enumeration date
03/13/2008
Last updated
08/19/2009
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