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Individual
MS. TERESA ELLSWORTH
Active
Individual
MS. TERESA ELLSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
14528
SC
1041C0700X
Clinical Social Worker
6801066406
MI
1041C0700X
Clinical Social Worker
7780
TN
1041C0700X
Clinical Social Worker
Primary
SW11351
FL
Other
Enumeration date
05/18/2007
Last updated
04/13/2026
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