Individual
STACY M ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 REGENTS PARK DR STE 103, HOUSTON, TX 77058-2536
(281) 282-1301
Mailing address
431 OLD COURSE DR, FRIENDSWOOD, TX 77546-5662
(409) 443-8600
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
66496
TX
Other
Enumeration date
07/07/2018
Last updated
12/09/2018
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