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Individual
MS. ELAINE ROCHELLE THOMAS
Active
Individual
MS. ELAINE ROCHELLE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801016513
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H21692
BLUE CROSS
MI
01
—
1093940272
GROUP NPI HENRY FORD WYANDOTTE
—
Enumeration date
12/17/2012
Last updated
02/22/2017
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