CHRISTIAN DANYELL ELLIS FREDERICK

SAN DIEGO, CA
NPI1356658108
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34005465A)
Enumeration Date2010-08-31
Last Update Date2010-08-31
Business Address
-- CHRISTIAN DANYELL ELLIS FREDERICK LCSW, CCM
4715 VIEWRIDGE AVE STE 110
SAN DIEGO, CA 92123-1680
Phone number: 800-257-8715
Mailing Address
-- CHRISTIAN DANYELL ELLIS FREDERICK LCSW, CCM
8105 GRASSY MEADOW CT
INDIANAPOLIS, IN 46259-7728
Phone number: 317-965-3349
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