JONATHAN W. ELLIS

JAMAICA PLAIN, MA
NPI1689710097
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: MA  213700)
Enumeration Date2007-01-30
Last Update Date2007-07-08
Business Address
MR. JONATHAN W. ELLIS LCSW
161 S HUNTINGTON AVE
JAMAICA PLAIN, MA 02130-4885
Phone number: 617-264-5301
Mailing Address
MR. JONATHAN W. ELLIS LCSW
37 SUMMIT AVE
SHARON, MA 02067-2151
Phone number: 617-264-5301