MICHAEL FREDERICK ELLIS

WINCHESTER, VA
NPI1184288961
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: VA  0904011034)
Enumeration Date2019-04-26
Last Update Date2019-04-26
Business Address
MICHAEL FREDERICK ELLIS LCSW
2913 PLEASANT VALLEY AVENUE SUITE 125
WINCHESTER, VA 22601
Phone number: 540-431-7376
Mailing Address
MICHAEL FREDERICK ELLIS LCSW
118 DUWAMISH TRL
WINCHESTER, VA 22602-1314
Phone number: 540-431-7376