LARRY ELLIS

MILWAUKEE, WI
NPI1437578366
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WI  129151-121)
Enumeration Date2014-04-08
Last Update Date2014-04-08
Business Address
Mr. LARRY ELLIS M.S.W.
11104 W MEADOW CREEK DR
MILWAUKEE, WI 53224-5053
Phone number: 414-461-3134
Mailing Address
Mr. LARRY ELLIS M.S.W.
11104 W MEADOW CREEK DR
MILWAUKEE, WI 53224-5053
Phone number: 414-461-3134