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NPI Code Detail

MEDICARE: VONZOLLA MONIQUE ELLIOTT

MEDICARE:   VONZOLLA MONIQUE ELLIOTT
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
11041C0700XClinical Social Worker6801092790MI
21041C0700XClinical Social Worker34007952AIN
31041C0700XClinical Social WorkerLW60750646WA
41041C0700XClinical Social Worker107200TX

General Provider Information

NPI Number : 1659737740
Entity Type Code : Individual
Provider Name (Legal Business Name) : VONZOLLA MONIQUE ELLIOTT
Provider Business Mailing Address
First Line : 8515 BOULEVARD 26 APT 209
Second Line :
City : NORTH RICHLAND HILLS
State : TX
Zip : 76180-5632
Country : US
Telephone Number : 504-289-1067
Fax Number : 317-723-3632
Provider Business Practice Location Address
First Line : 429 E VERMONT ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46202-3690
Country : US
Telephone Number : 317-723-3181
Fax Number : 317-723-3632
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2016
Last Update Date : 09/10/2024

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Directions to “ VONZOLLA MONIQUE ELLIOTT ” Practice Location

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