Individual
ELIZABETH CRISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1132 EAGLE NEST DR, ROCHESTER, MI 48306-1214
(586) 883-0605
Mailing address
1132 EAGLE NEST DR, ROCHESTER, MI 48306-1214
(586) 883-0605
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802022520
MI
Other
Enumeration date
07/15/2015
Last updated
01/22/2025
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