Individual
ELMER WHITTAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
220 BAGLEY ST, SUITE 1100, DETROIT, MI 48226-1400
(313) 961-7990
Mailing address
220 BAGLEY ST, SUITE 1100, DETROIT, MI 48226-1400
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802019614
MI
Other
Enumeration date
06/21/2010
Last updated
06/21/2010
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