Individual
ELIZABETH M ELSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
300 COLORADO AVE, PUEBLO, CO 81004-2006
(719) 543-8718
(719) 543-5340
Mailing address
110 E ROUTT AVE, PUEBLO, CO 81004-2117
(719) 543-8718
(719) 543-5340
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1937
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03022005
—
CO
01
—
1937
COLO ST LIC
CO
Enumeration date
09/25/2012
Last updated
08/28/2013
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