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1962039560
CAROLINA CORONEL ELLISTON
HOUSTON, TX
NPI
1962039560
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 61168)
Enumeration Date
2020-03-24
Last Update Date
2021-01-28
Business Address
CAROLINA CORONEL ELLISTON LCSW
9606 MESA DR
HOUSTON, TX 77078-3024
Phone number: 832-548-5000
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Mailing Address
CAROLINA CORONEL ELLISTON LCSW
PO BOX 66308
HOUSTON, TX 77266-6308
Phone number: 832-548-5000
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