Yelena Israetel LMSW

NPI 1093887010 - Social Worker - 1041C0700X

NPI Details
NPI 1093887010
Gender Female
Enumeration Date 11/14/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
14221 TALBOT ST
OAK PARK MI, 48237-1190, US
Phone (248) 547-4416
Fax (248) 547-4416
Business Location
14221 TALBOT ST
OAK PARK MI, 48237-1190, US
Phone (248) 547-4416
Fax (248) 547-4416
Toxanomy
Taxonomy Code 1041C0700X
License State Michigan
License Number 6801074167
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According to our database, Mrs. Yelena Israetel LMSW NPI is 1093887010, taxonomy code is 1041C0700X and license number is 6801074167, license state is located at Michigan. Yelena Israetel LMSW physically located at 14221 Talbot St, Oak Park MI, 48237-1190. NPI Number Yelena Israetel LMSW has the Individual type.

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1093887010 NPI number is provided on an as is basis without warranty of any kind. 1093887010 is maintained by the National Plan & Provider Enumeration System. The contents of Yelena Israetel LMSW are for informational purposes only.