Healthcare Provider Details
I. General information
NPI: 1285938142
Provider Name (Legal Business Name): CHELSEA ELIZABETH WRIGHT LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 01/06/2011
Last Update Date: 07/25/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2140 E ELLSWORTH RD
ANN ARBOR MI
48108-2552
US
IV. Provider business mailing address
9266 NORTHERN AVE
PLYMOUTH MI
48170
US
V. Phone/Fax
- Phone: 734-222-3500
- Fax: 734-222-3461
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 104100000X |
| Taxonomy | Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: