Individual
MEGAN KATHLEEN ELLINGSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
1821 UNIVERSITY AVE W # S306A, SAINT PAUL, MN 55104-2801
(651) 315-4905
Mailing address
178 WILDER ST N, SAINT PAUL, MN 55104-5828
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MN
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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