MR. James Randolph Elliott, LCSW
NPI #1992081103 in San Dimas, California
Provider Information
- NPI Number
- 1992081103
- Entity Type
- Individual
- Name
- MR. James Randolph Elliott, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Nov 1, 2011
- Last Updated
- Nov 1, 2011
Practice Location
- Address
- 615 BRIARWOOD LN
- City
- San Dimas
- State
- California
- ZIP Code
- 91773-3608
- Phone
- (909) 305-6978
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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