Individual
JACQUELINE MCELRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
989 UNIVERSITY DR, PONTIAC, MI 48342-1885
(248) 370-0010
(313) 532-2773
Mailing address
15041 CRUSE ST, DETROIT, MI 48227-3239
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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