Individual
MRS. BARBARA ANN ELLEDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9990 COUNTY FARM RD, RIVERSIDE, CA 92503-3542
(951) 358-4834
Mailing address
9990 COUNTY FARM RD STE 5, RIVERSIDE, CA 92503-3542
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/13/2012
Last updated
09/23/2012
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