Individual
MS. ELIZABETH ANA PERALTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
909 ABBOT RD STE B, EAST LANSING, MI 48823-3168
(269) 430-3122
Mailing address
6701 AMBASSADOR AVE APT 312, GRAND LEDGE, MI 48837-8708
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801116647
MI
Other
Enumeration date
06/30/2021
Last updated
03/11/2024
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