Individual
LACRESIA ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
410 W TOWNSHIP LINE RD STE 4, HAVERTOWN, PA 19083-5237
(215) 219-6263
Mailing address
410 W TOWNSHIP LINE RD STE 4, HAVERTOWN, PA 19083-5237
(215) 219-6263
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW128509
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SW128509
—
PA
Enumeration date
02/05/2019
Last updated
02/05/2019
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