Individual
AMANDA ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4104 TETON OVAL, NORMAN, OK 73072-1975
(405) 550-0878
Mailing address
PO BOX 12978, OKLAHOMA CITY, OK 73157-2978
(405) 550-0878
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/01/2014
Last updated
10/11/2017
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