Individual
ELIZABETH MAE WEGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
1750 E GRAND RIVER AVE STE 101, EAST LANSING, MI 48823-4958
(616) 745-4045
Mailing address
1750 E GRAND RIVER AVE STE 101, EAST LANSING, MI 48823-4958
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6851118305
MI
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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