Individual
MRS. ELLEN RENEE ALTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
104 E DIXIE AVE, LEESBURG, FL 34748-6350
(352) 451-1521
(352) 431-3173
Mailing address
104 E DIXIE AVE, LEESBURG, FL 34748-6350
(352) 451-1521
(352) 431-3173
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-06207
NM
Other
Enumeration date
01/08/2007
Last updated
03/02/2020
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