Individual
CEZANNE MAISEL ELIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CLINICAL SOCIAL
Contact information
Practice address
3660 ROME DR, LAFAYETTE, IN 47905-4488
(765) 446-9394
(765) 447-8875
Mailing address
3660 ROME DR, LAFAYETTE, IN 47905-4488
(765) 446-9394
(765) 447-8875
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
35001672A
IN
Other
Enumeration date
08/16/2011
Last updated
08/16/2011
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