Individual
SCOTTY A ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
152 MONTROSE DR, DURHAM, NC 27707-3930
(919) 818-2044
Mailing address
152 MONTROSE DR, DURHAM, NC 27707-3930
(919) 818-2044
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
COO9248
NC
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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