Individual
REBECCA ELAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
604 HIGH TECH DR, GEORGETOWN, TX 78626-8185
(512) 763-1400
(512) 763-1411
Mailing address
604 HIGH TECH DR, GEORGETOWN, TX 78626-8185
(512) 763-1400
(512) 763-1411
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/16/2021
Last updated
07/16/2021
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