Individual
MR. JAMES N ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
101C N MILL ST, SAUKVILLE, WI 53080-1921
(920) 207-3801
Mailing address
W6829 COUNTY HIGHWAY A, ADELL, WI 53001-1538
(920) 207-3801
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1993-123
WI
Other
Enumeration date
03/05/2010
Last updated
03/05/2010
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