Individual
ELIZABETH RUTH EELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
160 MEDICAL CIR STE E, WEST COLUMBIA, SC 29169-3639
(803) 339-9178
Mailing address
1624 RIVERWIND DR APT F, COLUMBIA, SC 29210-7471
(404) 834-4476
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/14/2018
Last updated
01/14/2018
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