Individual
MRS. ALLIRA M ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2918 MALLARD CIR, BLANCHARD, OK 73010-8989
(850) 501-2815
Mailing address
2918 MALLARD CIR, BLANCHARD, OK 73010-8989
(850) 501-2815
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/22/2011
Last updated
06/22/2011
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