KERRY ELLIS

MILLERSVILLE, MD
NPI1134631757
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MD  20829)
Enumeration Date2017-11-05
Last Update Date2017-11-05
Business Address
Mr. KERRY ELLIS LCSW-C
1111 BENFIELD BLVD STE 104
MILLERSVILLE, MD 21108-3003
Phone number: 410-714-2626
Mailing Address
Mr. KERRY ELLIS LCSW-C
260A HILLTOP LN APT 102
ANNAPOLIS, MD 21403-5809
Phone number: 410-714-2626