Individual
STEPHANIE ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1113 PEGASUS RUN, LASCASSAS, TN 37085-4345
(615) 613-2584
Mailing address
1113 PEGASUS RUN, LASCASSAS, TN 37085-4345
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9423
TN
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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