Individual
MELISSA ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4697 HIGHWAY 707, LOUISA, KY 41230-7298
(606) 929-9155
Mailing address
4697 HIGHWAY 707, LOUISA, KY 41230-0000
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/27/2016
Last updated
06/27/2016
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