MICHELLE ELLSWORTH

ROSEBURG, OR
NPI1700245164
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Additional Taxonomies104100000X Social Worker
Enumeration Date2016-02-14
Last Update Date2018-11-06
Business Address
Mrs. MICHELLE ELLSWORTH LCSW
621 W MADRONE ST
ROSEBURG, OR 97470-3090
Phone number: 541-492-0158
Mailing Address
Mrs. MICHELLE ELLSWORTH LCSW
621 W MADRONE ST
ROSEBURG, OR 97470-3090
Phone number: 541-492-0158