Individual
ALICIA ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1291 RIVER VALLEY RD, SOBIESKI, WI 54171-9413
(920) 309-1719
Mailing address
504 LAKELAND RD, SHAWANO, WI 54166-3836
(715) 526-4700
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8388-125
WI
Other
Enumeration date
07/18/2014
Last updated
03/29/2024
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