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Individual

ANN CRISTINA ELLIOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
15200 FOOTHILL BLVD, SAN LEANDRO, CA 94578-1013
(510) 352-9690
Mailing address
2515 OCTAVIA ST APT 1, SAN FRANCISCO, CA 94123-4949
(510) 352-9690

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
25187
ASSOCIATE CLINICAL SOCIAL WORK REGISTRATION
CA
Enumeration date
12/02/2008
Last updated
12/02/2008
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