Individual
ELISHA BOESKOOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35425 W MICHIGAN AVE, WAYNE, MI 48184-9800
(616) 612-8286
Mailing address
35425 W MICHIGAN AVE, WAYNE, MI 48184-9800
(616) 970-5349
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802091236
MI
171M00000X
Case Manager/Care Coordinator
6802088047
MI
Other
Enumeration date
02/12/2015
Last updated
05/28/2025
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