Individual
MS. SHERYL LYNN ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
621 W MADRONE ST, ROSEBURG, OR 97470-3090
(541) 440-3532
Mailing address
621 W MADRONE ST, ROSEBURG, OR 97470-3090
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
A1889
OR
Other
Enumeration date
09/17/2007
Last updated
09/17/2007
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