Individual
ELIZABETH DEPHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
12265 JAMES ST BLDG A, HOLLAND, MI 49424-8613
(616) 393-5698
Mailing address
12265 JAMES ST BLDG A, HOLLAND, MI 49424-8613
(616) 393-5698
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/03/2022
Last updated
02/03/2022
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