Individual
VICKI LEE ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
416 S MAIN ST, ESTILL SPRINGS, TN 37330-4037
(931) 649-3408
Mailing address
416 S MAIN ST, ESTILL SPRINGS, TN 37330-4037
(931) 649-3408
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/31/2012
Last updated
07/31/2012
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