Individual
ELIS LASHAN MCBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
147 WYATT EARP LOOP, NOLANVILLE, TX 76559-9752
(254) 833-4992
Mailing address
147 WYATT EARP LOOP, NOLANVILLE, TX 76559-9752
(254) 833-4992
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178005212
IL
Other
Enumeration date
04/28/2010
Last updated
04/28/2010
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