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Individual

ERICA ELLIOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
10316 CAROLYN DR, NEWALLA, OK 74857-7605
(405) 623-4075
Mailing address
3917 TERRY LN NE, PIEDMONT, OK 73078-9499
(405) 623-4075

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2050
OK

Other

Enumeration date
02/11/2013
Last updated
02/19/2019
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