Individual
ANTONIO ELMORE SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 PORTER ST, DETROIT, MI 48216-1936
(313) 963-6001
(313) 196-3685
Mailing address
1600 PORTER ST, DETROIT, MI 48207
(313) 963-6001
(313) 963-6851
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6802078769
MI
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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