Individual
MS. DEBORAH LYNNE ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1630 E SHAW AVE, STE 150, FRESNO, CA 93710-8105
(559) 248-8550
(559) 248-8555
Mailing address
1630 E SHAW AVE, STE 150, FRESNO, CA 93710-8105
(559) 248-8550
(559) 248-8555
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/11/2007
Last updated
10/09/2019
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