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NPI Code Detail

MEDICARE: MRS. CAROL ANN MCELHANNON BA

MEDICARE: MRS. CAROL ANN MCELHANNON BA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker

General Provider Information

NPI Number : 1245442847
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CAROL ANN MCELHANNON BA
Provider Business Mailing Address
First Line : 510 MCLEMORE DR
Second Line :
City : GARLAND
State : TX
Zip : 75040-8326
Country : US
Telephone Number : 214-317-5775
Fax Number :
Provider Business Practice Location Address
First Line : 901 S ERVAY ST
Second Line :
City : DALLAS
State : TX
Zip : 75201-6419
Country : US
Telephone Number : 214-939-3933
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. CAROL ANN MCELHANNON BA” Practice Location

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