TIM ELLIS

ELIZABETHTOWN, KY
NPI1811949142
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: KY  1284)
Enumeration Date2006-05-16
Last Update Date2015-09-09
Business Address
-- TIM ELLIS LCSW
3651 SHEPHERDSVILLE RD
ELIZABETHTOWN, KY 42701-9511
Phone number: 270-378-0230
Mailing Address
-- TIM ELLIS LCSW
3651 SHEPHERDSVILLE RD
ELIZABETHTOWN, KY 42701-9511
Phone number: 270-378-0230