Organization
ELAINE ELLIOTT, LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELAINE ELLIOTT (SOLE PROPRIETOR)
(813) 928-3871
Entity
Organization
Contact information
Practice address
2107 GUNN HWY, ODESSA, FL 33556-3513
(813) 928-3871
Mailing address
PO BOX 634, ODESSA, FL 33556-0634
(813) 928-3871
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW9782
FL
Other
Enumeration date
09/12/2013
Last updated
09/12/2013
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