ELIZABETH ELAINE ELLIS

FORT BENNING, GA
NPI1750458063
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NM  I 06307)
Enumeration Date2006-11-29
Last Update Date2014-11-18
Business Address
-- ELIZABETH ELAINE ELLIS LISW
7950 MARNE RD
FORT BENNING, GA 31905-3175
Phone number: 762-408-2610
Mailing Address
-- ELIZABETH ELAINE ELLIS LISW
7715 AURORA DR
COLUMBUS, GA 31909-1601
Phone number: 915-345-9972
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