BRIAN TODD ELLIS

WEST DES MOINES, IA
NPI1598279853
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: IA  087137)
Enumeration Date2017-11-24
Last Update Date2017-11-24
Business Address
BRIAN TODD ELLIS LMSW
1501 42ND ST
WEST DES MOINES, IA 50266-1005
Phone number: 515-333-9734
Mailing Address
BRIAN TODD ELLIS LMSW
PO BOX 35944
DES MOINES, IA 50315-0326
Phone number: 515-333-9734