JAMES RANDOLPH ELLIOTT

SAN DIMAS, CA
NPI1992081103
Former NameNA NA NA
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  25485)
Enumeration Date2011-11-01
Last Update Date2011-11-01
Business Address
Mr. JAMES RANDOLPH ELLIOTT LCSW
615 BRIARWOOD LN
SAN DIMAS, CA 91773-3608
Phone number: 909-305-6978
Mailing Address
Mr. JAMES RANDOLPH ELLIOTT LCSW
615 BRIARWOOD LN
SAN DIMAS, CA 91773-3608
Phone number: 909-305-6978
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