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Individual

ELISSA B BOTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
3016 BEACHCOMBER DR, SOUTHPORT, NC 28461-1209
(609) 915-6931
Mailing address
3016 BEACHCOMBER DR, SOUTHPORT, NC 28461-1209
(609) 915-6931

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05270700
NJ

Other

Enumeration date
05/16/2022
Last updated
05/16/2022
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