Individual
GREGORY DONALD ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
12271 US HIGHWAY 301 N, PARRISH, FL 34219-8410
(941) 776-4000
Mailing address
PO BOX 997, PALMETTO, FL 34220-0997
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW5365
FL
Other
Enumeration date
05/15/2014
Last updated
10/01/2014
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