Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 6801091428 | MI |
NPI | 1003145350 |
---|---|
Provider Name | Elizabeth Joy Rumble |
First Address | Clinton Township, MI 48036-1030 |
Second Address | Clinton Township, MI 48036-1030 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/12/2009 |
Last Update Date | 16/12/2009 |