Individual
ELSA CLAIRE CONNALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
914 BLACK BASS RD, COHUTTA, GA 30710-7809
(706) 264-8604
Mailing address
914 BLACK BASS RD, COHUTTA, GA 30710-7809
(706) 264-8604
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW007628
GA
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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