Individual
ELISE DILAURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21611 E 11 MILE RD STE A, SAINT CLAIR SHORES, MI 48081-1636
(586) 944-2902
Mailing address
852 CREST ST, MOUNT CLEMENS, MI 48043-6422
(586) 419-3243
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6851117019
MI
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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