Most Relevant Information
Provider Data
| NPI Number: | 1003510553 |
| Provider Name: | ELISE COWART MSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | P019105 |
Most Important Dates
| Enumeration Date: | 03/29/2023 |
| Last Updated: | 06/15/2023 |
Provider Practice Location
445 WESTERN BLVD STE Q
JACKSONVILLE
NC
285466852
Practice Location Phone/Fax
| Phone: | 9108585848 |
| Fax: |
Provider Mailing Location
445 WESTERN BLVD STE Q
JACKSONVILLE
NC
285466852
Provider Mailing Phone/Fax
| Phone: | 9108585848 |
| Fax: |