Individual
BENJAMIN ELLIS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
35 MORELAND DR, DELRAN, NJ 08075-1330
(856) 764-3824
Mailing address
770 WOODLANE RD, WESTAMPTON, NJ 08060-3804
(609) 267-5928
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/23/2015
Last updated
06/23/2015
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