Individual
MISS ESMARIE ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6121 S SANGAMON ST, CHICAGO, IL 60621-2003
(773) 488-7251
(773) 488-7258
Mailing address
14518 S WABASH AVE, RIVERDALE, IL 60827-2844
(708) 841-6240
(708) 880-1138
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180003629
IL
Other
Enumeration date
01/17/2007
Last updated
08/28/2009
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