Individual
ELANY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
27550 GROVELAND ST, ROSEVILLE, MI 48066-4354
(586) 213-2837
Mailing address
27550 GROVELAND ST, ROSEVILLE, MI 48066-4354
(586) 213-2837
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6851114428
MI
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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