Individual
LORI A ELLEGOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
724 3RD ST, COLUMBUS, IN 47201-6813
(812) 447-2464
(800) 447-9171
Mailing address
724 3RD ST, COLUMBUS, IN 47201-6813
(812) 447-2464
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005397A
IN
Other
Enumeration date
08/27/2007
Last updated
05/15/2019
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