Individual
ELISE DOBSON EZELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2617 7TH ST, TUSCALOOSA, AL 35401-1803
(205) 860-5113
Mailing address
2617 7TH ST, TUSCALOOSA, AL 35401-1803
(205) 860-5113
(205) 882-5836
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3639G
AL
1041C0700X
Clinical Social Worker
5021C
AL
Other
Enumeration date
09/21/2019
Last updated
09/06/2022
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