Individual
JANE ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7345 COURAGE WAY STE 101, CHATTANOOGA, TN 37421-1555
(423) 602-9797
(423) 602-9796
Mailing address
7345 COURAGE WAY STE 101, CHATTANOOGA, TN 37421-1555
(423) 602-9797
(423) 602-9796
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3145
TN
Other
Enumeration date
05/11/2020
Last updated
03/07/2023
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