LORI ELLIS

ST PETERSBURG, FL
NPI1275790750
Professional NameTHERESA ELLIS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: FL  SW7158)
Enumeration Date2008-05-21
Last Update Date2008-05-21
Business Address
-- LORI ELLIS LCSW
535 CENTRAL AVE SUITE 319
ST PETERSBURG, FL 33701
Phone number: 727-560-8851
Mailing Address
-- LORI ELLIS LCSW
439 1/2 20TH AVE N
ST PETERSBURG, FL 33704-4341
Phone number: 727-560-8851
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