Individual
MS. CHANTEL LANAE ELLSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAED
Contact information
Practice address
2935 S RECKER RD, GILBERT, AZ 85295-7846
(480) 279-7000
Mailing address
2935 S RECKER RD, GILBERT, AZ 85295-7846
(480) 279-7000
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
AZ
Other
Enumeration date
01/18/2008
Last updated
02/11/2008
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