Individual
ALICE JO ELMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
MCCS, BHB, SACC, BLDG 1437 DOOR 6, TWENTYNINE PALMS, CA 92278
(760) 830-6986
Mailing address
PO BOX 1142, TWENTYNINE PALMS, CA 92277-0928
(760) 406-1033
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW22397
CA
Other
Enumeration date
03/04/2021
Last updated
03/04/2021
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