Individual
MS. DESIRE' MARIE ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 225-7595
Mailing address
3219 UNIVERSITY AVE APT 17, COLUMBUS, GA 31907-2116
(706) 341-7508
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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