Individual
ELISE HACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8486 M 119, HARBOR SPRINGS, MI 49740-8508
(231) 545-4141
Mailing address
2329 CENTER ST, BOYNE FALLS, MI 49713-9268
(231) 535-2822
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
04/11/2023
Last updated
09/11/2024
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