Individual
RONTRELLA D ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
331 CAMPBELL THICKETT RD, RIDGEVILLE, SC 29472-6339
(843) 821-3073
(843) 851-8427
Mailing address
331 CAMPBELL THICKETT RD, RIDGEVILLE, SC 29472-6339
(843) 821-3073
(843) 851-8427
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10092
SC
Other
Enumeration date
12/14/2012
Last updated
12/14/2012
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