LISA A ELLIS

CHAMPAIGN, IL
NPI1487892485
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy252Y00000X Early Intervention Provider Agency
Enumeration Date2009-01-28
Last Update Date2014-04-24
Business Address
Ms. LISA A ELLIS
309 S FAIR ST
CHAMPAIGN, IL 61821-3122
Phone number: 217-377-9348
Mailing Address
Ms. LISA A ELLIS
309 S FAIR ST
CHAMPAIGN, IL 61821-3122
Phone number: 217-377-9348
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