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Andrea Elliott, LCDC, SAP

NPI 1518384023 · on the registry since 2014 · sole proprietor

Practice

Address
320 Sioux St
Keller, TX 76248
Phone
(817) 337-4518

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
101YA0400X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-03-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas