Individual
MRS. ELLYCE ANDREA WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
279 SUMMIT DR, WATERFORD, MI 48328-3364
(248) 871-1506
Mailing address
279 SUMMIT DR, WATERFORD, MI 48328-3364
(248) 871-1506
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801015129
MI
Other
Enumeration date
04/24/2013
Last updated
04/24/2013
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