Individual
CYNTHIA J ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1910 GREENWOOD DR STE D, POPLAR BLUFF, MO 63901-2430
(573) 785-5224
Mailing address
1910 GREENWOOD DR STE D, POPLAR BLUFF, MO 63901-2430
(573) 785-5224
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2007025653
MO
1041C0700X
Clinical Social Worker
2589-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073811139
—
MO
Enumeration date
03/14/2011
Last updated
04/26/2019
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