Rudolofo Menchaca LMSW
Clinical Social Worker in Port Huron, MI(View on Map)
Full Name
Rudolofo Menchaca LMSW
NPI Number
1588819742
NPI Type
Individual Provider
Gender
Male
Enumeration Date
12/01/2008
Specialties
(Taxonomies)Licenses
State
Michigan
License Number
6801088438
Contact
Information
Purpose
Mailing
Location
Address
1209 RICHARDSON ST
1209 RICHARDSON ST
City
Port Huron
Port Huron
State
MI
MI
Postal Code
48060-3548
48060-3548
Country
US
US
Telephone Number
(810) 984-5156
(810) 984-5156
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 12/01/2008
Provider Address
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