ELAINA NICOLE GARDNER

SOUTHFIELD, MI
NPI1356898829
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MI  G635201630597)
Enumeration Date2016-09-01
Last Update Date2016-09-01
Business Address
-- ELAINA NICOLE GARDNER
30640 LONGCREST ST
SOUTHFIELD, MI 48076-1562
Phone number: 248-798-4807
Mailing Address
-- ELAINA NICOLE GARDNER
30640 LONGCREST ST.
SOUTHFIELD, MI 48076-1562
Phone number: 248-798-4807