Individual
ELISE ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
188 ECKFORD DR, TROY, MI 48085-4745
(786) 417-0576
Mailing address
188 ECKFORD DR, TROY, MI 48085-4745
(786) 417-0576
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401010061
MI
Other
Enumeration date
11/22/2013
Last updated
11/22/2013
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