Individual
MRS. SHERRY LYNNE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11102 LINDBERGH BUSINESS CT, SAINT LOUIS, MO 63123-7810
(314) 206-3400
(314) 206-3477
Mailing address
11102 LINDBERGH BUSINESS CT, SAINT LOUIS, MO 63123-7810
(314) 206-3400
(314) 206-3477
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/12/2020
Last updated
03/12/2020
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