Individual
ALICIA LYNN ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1301 8TH ST S, MOORHEAD, MN 56560-3604
(701) 234-3100
Mailing address
1919 ELM ST N, FARGO, ND 58102-2416
(701) 293-4113
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
65725
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/05/2015
Last updated
10/10/2019
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