ELLERY FARRELL

CAMILLA, GA
NPI1174072540
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2016-09-27
Last Update Date2016-09-27
Business Address
-- ELLERY FARRELL
198 S MACARTHUR DR
CAMILLA, GA 31730-6370
Phone number: 229-336-2247
Mailing Address
-- ELLERY FARRELL
198 S MACARTHUR DR
CAMILLA, GA 31730-6370
Phone number: 229-336-2247