Individual
MARIA ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
814 CAROLINE AVE, JUNCTION CITY, KS 66441-5210
(785) 762-5250
(785) 762-2144
Mailing address
PO BOX 747, MANHATTAN, KS 66505-0747
(785) 587-4346
(785) 587-4377
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2239
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
069603
BCBS NUMBER
KS
Enumeration date
06/03/2006
Last updated
04/05/2018
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