Individual
ELLISHA FINCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SST
Contact information
Practice address
2925 RUSSELL ST, DETROIT, MI 48207-4825
(586) 872-9100
Mailing address
2925 RUSSELL ST, DETROIT, MI 48207-4825
(586) 872-9100
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588855100
—
MI
Enumeration date
07/13/2023
Last updated
07/13/2023
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