Individual
HEATHER LYNNE ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 MOTOR AVE, LOS ANGELES, CA 90034-3710
(310) 836-1223
Mailing address
10789 OHIO AVE, APT. 3, LOS ANGELES, CA 90024-5054
(760) 504-9595
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/24/2010
Last updated
09/24/2010
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