Individual
MRS. MICHELLE MARIE ELEUTERIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
127 GARY ST, GULFPORT, MS 39503-3503
(228) 832-0556
(228) 831-4495
Mailing address
708 OLD SAVANNAH DR, LONG BEACH, MS 39560-9605
(228) 863-3086
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C5744
MS
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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