Provider Demographics
NPI:1174876536
Name:FRAKER, ELIZABETH ELGIN (LMSW)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:ELGIN
Last Name:FRAKER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:ELGIN
Other - Last Name:COLLINS - FRAKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2800 STONE SCHOOL ROAD
Mailing Address - Street 2:ROOM 112
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-7434
Mailing Address - Country:US
Mailing Address - Phone:734-973-9167
Mailing Address - Fax:734-973-9189
Practice Address - Street 1:2800 STONE SCHOOL ROAD
Practice Address - Street 2:ROOM 112
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-7434
Practice Address - Country:US
Practice Address - Phone:734-973-9167
Practice Address - Fax:734-973-9189
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-23
Last Update Date:2012-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical