Individual
DEMITA ELSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S
Contact information
Practice address
1200 NOBLE ST STE 120, ANNISTON, AL 36201-4660
(256) 741-6160
(256) 741-6180
Mailing address
PO BOX 762, BYNUM, AL 36253-0762
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/01/2007
Last updated
07/08/2007
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