Individual
ELIZABETH LISA MARGARET BRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, QIDP
Contact information
Practice address
22450 PARK ST, DEARBORN, MI 48124-2730
(313) 562-1787
Mailing address
22450 PARK ST, DEARBORN, MI 48124-2730
(313) 562-1787
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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