Individual
ELISE HOOVER RACETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5838 METRO WAY SW, WYOMING, MI 49519-9619
(616) 249-5300
Mailing address
5838 METRO WAY SW, WYOMING, MI 49519-9619
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301018602
MI
103TC0700X
Clinical Psychologist
PSYCH.00014341
CO
Other
Enumeration date
08/18/2020
Last updated
05/19/2021
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