Provider Information for 1427525245
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MICHELLE DIANE ELDER MSW
Sex: Female
NPI: 1427525245
Last Updated: 2022-10-12
Certification Date: 2022-10-12
Certification Date: 2022-10-12
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1427525245 | ||||||||||||
| Enumeration Date | 2018-10-30 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | PO BOX 421 LIBERTY LAKE, WA 99019-0421 United States Phone: 866-747-2455 | Fax: | ||||||||||||
| Primary Practice Address | 105 W 8TH AVE STE 450E SPOKANE, WA 99204-2302 United States Phone: 509-747-6920 | Fax: | ||||||||||||
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