Individual
ELISE LILLARD IPOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
414 HARRISON ST, WEST LAFAYETTE, IN 47906-3516
(765) 743-4639
Mailing address
414 HARRISON ST, WEST LAFAYETTE, IN 47906-3516
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Enumeration date
02/19/2008
Last updated
02/19/2008
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