Individual
CHASITY ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
74 EAST ST, PLAINVILLE, CT 06062-2367
(800) 563-4086
Mailing address
74 EAST ST, PLAINVILLE, CT 06062-2367
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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