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Individual

JENNA RUSINOWSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8045 E JEFFERSON AVE, DETROIT, MI 48214-2627
(313) 821-3525
Mailing address
8045 E JEFFERSON AVE, DETROIT, MI 48214-2627
(313) 821-3525

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101006259
MI

Other

Enumeration date
07/10/2019
Last updated
07/10/2019
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