Jacquelyn Elwell
Social Worker, Clinical in Southfield, MI. Individual provider (NPI-1).
NPI number1164098646
StatusActive
Last updated in NPPESOct 23, 2023
Details
- NPI
- 1164098646
- Entity type
- Individual (NPI-1)
- Name
- Jacquelyn Elwell
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 3, 2021
- Certification date
- Oct 23, 2023
- Last updated
- Oct 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
24901 Northwestern Hwy Ste 500Southfield, MI 48075-2212
Phone 248-365-8425
Mailing address
24901 Northwestern Hwy Ste 500Southfield, MI 48075-2212
Phone 248-365-8425
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