ELISE D DAXE

PORTAGE, IN
NPI1194009035
Former NameELISE D DAXE-PULLINS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34006342A)
Enumeration Date2011-10-10
Last Update Date2011-10-10
Business Address
-- ELISE D DAXE
3176 LANCER ST
PORTAGE, IN 46368-4408
Phone number: 219-762-9557
Mailing Address
-- ELISE D DAXE
601 WALL ST
VALPARAISO, IN 46383-2512
Phone number: 219-531-3500