JAMES BRADLEY ELLIS

FORT PAYNE, AL
NPI1477183754
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: AL  4301C)
Enumeration Date2020-01-25
Last Update Date2020-01-26
Business Address
JAMES BRADLEY ELLIS LICSW
1306 67TH ST NW
FORT PAYNE, AL 35967-8306
Phone number: 334-425-4295
Mailing Address
JAMES BRADLEY ELLIS LICSW
1306 67TH ST NW
FORT PAYNE, AL 35967-8306
Phone number: 334-425-4295
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