Individual
MR. WAYNE ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, MSW
Contact information
Practice address
302 DULLES DR, LAFAYETTE, LA 70506-3008
(337) 262-5870
Mailing address
302 DULLES DR, LAFAYETTE, LA 70506-3008
(337) 262-5870
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
LA
Other
Enumeration date
04/18/2012
Last updated
04/18/2012
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