| Doctor Name: | ELGIE EUGENE DOW |
| NPI Number: | 1568761609 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LMSW, MSW |
| License Number: | 680100584 |
| Business Practice Address: | 298 Mccann St Saint Ignace, MI - 497811651 |
| Business Phone Number: | 9066437487 |
| Business Fax Number: | 9066437487 |
| Mailing Address: | 298 Mccann St, SAINT IGNACE |
| State: | MI |
| Postal Code: | 497811651 |
| Phone Number: | 9066437487 |
| Fax Number: | 9066437487 |
| NPI Enumeration Date: | 03/15/2011 |
| NPI Last Update Date: | 03/15/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 680100584 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |