Individual
ELIZABETH EIDENIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3865 S MACKINAC TRL, SAULT SAINTE MARIE, MI 49783-9286
(906) 632-2805
Mailing address
125 N LAKE ST, MANISTIQUE, MI 49854-1234
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/27/2013
Last updated
08/27/2013
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