Individual
ELISE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 CATHERINE ST, ANN ARBOR, MI 48109-2054
(734) 764-8440
Mailing address
1111 CATHERINE ST, ANN ARBOR, MI 48109-2054
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101005191
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497772396
REGENTS OF THE UM - CENTER FOR LANGUAGE & LITERACY
MI
Enumeration date
08/12/2016
Last updated
08/12/2016
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