Individual
STEPHANIE ELIZABETH ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
1061 HARMON AVE, STE 1D03 WINN ARMY COMMUNITY HOSPITAL, FORT STEWART, GA 31314-5641
(912) 767-7301
Mailing address
1061 HARMON AVE, STE 1D03 WINN ARMY COMMUNITY HOSPITAL, FORT STEWART, GA 31314-5641
(912) 767-7301
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
G13145
MD
Other
Enumeration date
02/01/2010
Last updated
11/01/2010
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