Individual
ELISA CULLITON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
463B ERNEST BILES DR, JACKSON, GA 30233-2229
(770) 358-5252
Mailing address
95 CHIMNEY SMOKE DR, STOCKBRIDGE, GA 30281-2701
(404) 953-9688
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW009700
GA
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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