Individual
CASEY L ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
425 N FINDLAY ST, DAYTON, OH 45404-2203
(937) 949-1860
Mailing address
2000 NOBLE DR, WOOSTER, OH 44691-5353
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1900925
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/21/2019
Last updated
09/09/2019
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