Individual
REBEKAH SHARON ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
339 PRIDE ST, PELHAM, GA 31779-5370
(229) 294-6225
Mailing address
1102 SMITH AVE, THOMASVILLE, GA 31792-5739
(229) 225-5208
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW008417
GA
Other
Enumeration date
04/09/2019
Last updated
04/09/2019
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