Individual
AMY ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2505 BULLFROG LN., LANCASTER, SC 29720
(704) 299-1814
Mailing address
1735 HECKLE BLVD STE 103, ROCK HILL, SC 29732-1885
(704) 299-1814
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
10712
SC
1041C0700X
Clinical Social Worker
Primary
C010856
NC
Other
Enumeration date
01/13/2015
Last updated
02/21/2024
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