Individual
ELIZABETH J CANCEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
21010 SAINT GERTRUDE ST, SAINT CLAIR SHORES, MI 48081-1170
(586) 350-5603
Mailing address
21010 SAINT GERTRUDE ST, SAINT CLAIR SHORES, MI 48081-1170
(586) 350-5603
Taxonomy
Speciality
Code
Description
License number
State
103TE1100X
Exercise & Sports Psychologist
Primary
—
—
Other
Enumeration date
09/12/2013
Last updated
09/12/2013
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