Individual
NIA ELVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24511 PINEHURST AVE, OAK PARK, MI 48237-1878
(313) 910-1183
Mailing address
24511 PINEHURST AVE, OAK PARK, MI 48237-1878
(313) 910-1183
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401012953
MI
Other
Enumeration date
10/02/2015
Last updated
10/02/2015
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