Individual
ABIGAIL ELLEDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3003 BRETT RD, CORINTH, TX 76210-1613
(940) 293-5705
Mailing address
3003 BRETT RD, CORINTH, TX 76210-1613
(940) 293-5705
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
51807
TX
Other
Enumeration date
11/13/2013
Last updated
11/13/2013
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