Individual
BETH ANN ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
650 E INDIAN SCHOOL RD, BLDG 23A HUD-VASH, PHOENIX, AZ 85012-1839
(602) 222-6550
Mailing address
44 W MONROE ST, APT 903, PHOENIX, AZ 85003-4553
(602) 800-4139
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149016637
IL
Other
Enumeration date
09/07/2012
Last updated
06/29/2014
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