MS. Diane Ellaborn, MSW, LICSW
NPI #1124109459 in Prospect Harbor, Maine
Provider Information
- NPI Number
- 1124109459
- Entity Type
- Individual
- Name
- MS. Diane Ellaborn, MSW, LICSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- MSW, LICSW
- Enumeration Date
- Oct 17, 2006
- Last Updated
- Sep 5, 2023
Practice Location
- Address
- 173 MAIN STREET
- City
- Prospect Harbor
- State
- Maine
- ZIP Code
- 04669-0067
- Phone
- (508) 361-1751
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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