Individual
MS. LEONORA M ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 LARUE AVE APT B6, EGG HARBOR TOWNSHIP, NJ 08234-1628
(856) 982-3432
Mailing address
2 LARUE AVE APT B6, EGG HARBOR TOWNSHIP, NJ 08234-1628
(856) 982-3432
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/28/2019
Last updated
10/28/2019
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