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Organization

ELISA WELLS JONES LCSW LLC

Active
Parent organization
ELISA WELLS JONES LCSW LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
ELISA WELLS JONES LCSW LLC
Authorized official
ELISA WELLS JONES LCSW (SOLE MEMBER)
(251) 215-9953
Entity
Organization

Contact information

Practice address
11557 SORRENTO RD, PENSACOLA, FL 32507-8617
(251) 215-9953
Mailing address
PO BOX 834, LILLIAN, AL 36549-0834
(251) 215-9953

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
SW7653
FL

Other

Enumeration date
12/02/2014
Last updated
12/02/2014
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