Individual
ELISE COWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
445 WESTERN BLVD STE Q, JACKSONVILLE, NC 28546-6852
(910) 858-5848
Mailing address
445 WESTERN BLVD STE Q, JACKSONVILLE, NC 28546-6852
(910) 858-5848
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P019105
NC
Other
Enumeration date
03/29/2023
Last updated
06/15/2023
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