Individual
MS. ELAINE MARILYN HEROUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7305 N MILITARY TRL, RIVIERA BEACH, FL 33410-7417
(561) 422-6918
Mailing address
18081 SE COUNTRY CLUB DR, APT. 103, TEQUESTA, FL 33469-1276
(561) 277-8326
(561) 744-2807
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
C7093
MS
1041C0700X
Clinical Social Worker
LSW3843
TN
1041C0700X
Clinical Social Worker
Primary
SW8708
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00125094
—
MS
Enumeration date
09/01/2007
Last updated
08/29/2012
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