Elise Edie

NPI #1104506237 in Saint Clair, Michigan

Provider Information

NPI Number: 1104506237
Entity Type: Individual
Name: Elise Edie
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 24, 2023
Last Updated: Jul 24, 2023

Practice Location

Address: 1159 S CARNEY DR
City: Saint Clair
State: Michigan
ZIP Code: 48079-5569
Phone: (810) 487-5571

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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