Elisha Boeskool

NPI #1194116103 in Wayne, Michigan

Provider Information

NPI Number: 1194116103
Entity Type: Individual
Name: Elisha Boeskool
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Feb 12, 2015
Last Updated: May 28, 2025

Practice Location

Address: 35425 W MICHIGAN AVE
City: Wayne
State: Michigan
ZIP Code: 48184-9800
Phone: (616) 612-8286

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X
Social Worker	104100000X	Primary

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