ANTHONY M ELLIS

BATON ROUGE, LA
NPI1760299481
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: LA  6200)
Enumeration Date2024-12-16
Last Update Date2024-12-16
Business Address
ANTHONY M ELLIS
15274 MARY ELIZABETH DR
BATON ROUGE, LA 70816-9045
Phone number: 225-938-1123
Mailing Address
ANTHONY M ELLIS
15274 MARY ELIZABETH DR
BATON ROUGE, LA 70816-9045
Phone number: 225-938-1123
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