ELISE DAXE

Social Worker - Clinical

Active Individual
NPI: 1194009035

Practice Address

3176 LANCER ST
Portage, IN 46368

Phone: (219) 762-9557

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes 34006342A (IN)

Frequently Asked Questions

NPI 1194009035 is the National Provider Identifier for ELISE DAXE, a Social Worker - Clinical provider located in Portage, IN. This NPI was enumerated on October 10, 2011.
ELISE DAXE practices at 3176 LANCER ST, Portage, IN 46368.

Quick Facts

NPI
1194009035
Type
Individual
Enumerated
Oct 10, 2011
Last Updated
Oct 10, 2011

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