Individual
MRS. CEDALIA AMBER ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
410 MULBERRY ST, EVANSVILLE, IN 47713-1231
(812) 436-4243
Mailing address
415 MULBERRY ST, EVANSVILLE, IN 47713-1230
(812) 423-7791
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
99089105A
IN
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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