| Elaine Elliott, Lcsw | |
|
2107 Gunn Hwy Odessa FL 33556-3513 | |
| (813) 928-3871 | |
| Not Available |
| Full Name | Elaine Elliott, Lcsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2107 Gunn Hwy, Odessa, Florida |
| Authorized Official Name and Position | Elaine Elliott (SOLE PROPRIETOR) |
| Authorized Official Contact | 8139283871 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elaine Elliott, Lcsw Po Box 634 Odessa FL 33556-0634 Ph: (813) 928-3871 | Elaine Elliott, Lcsw 2107 Gunn Hwy Odessa FL 33556-3513 Ph: (813) 928-3871 |
| NPI Number | 1225463938 |
|---|---|
| Provider Enumeration Date | 09/12/2013 |
| Last Update Date | 09/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225463938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW9782 (Florida) | Primary |
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