| Elissa Ruth Driker Lmsw Llc | |
|
628 E Parent Ave Suite 102 Royal Oak MI 48067-3765 | |
| (248) 376-5330 | |
| Not Available |
| Full Name | Elissa Ruth Driker Lmsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 628 E Parent Ave, Royal Oak, Michigan |
| Authorized Official Name and Position | Elissa Driker (MEMBER) |
| Authorized Official Contact | 2483765330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elissa Ruth Driker Lmsw Llc 628 E Parent Ave Suite 102 Royal Oak MI 48067-3765 Ph: () - | Elissa Ruth Driker Lmsw Llc 628 E Parent Ave Suite 102 Royal Oak MI 48067-3765 Ph: (248) 376-5330 |
| NPI Number | 1225333032 |
|---|---|
| Provider Enumeration Date | 01/26/2011 |
| Last Update Date | 01/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225333032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801067068 (Michigan) | Primary |
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