Individual
ELISE ELSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17306 MADISON AVE, LAKEWOOD, OH 44107-3533
(216) 543-5232
Mailing address
17306 MADISON AVE, LAKEWOOD, OH 44107-3533
(216) 543-5232
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.2405859
OH
Other
Enumeration date
08/07/2020
Last updated
10/23/2024
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