Individual
ETHEL ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
7426 US HIGHWAY 42 STE 106, FLORENCE, KY 41042-2056
(859) 282-0119
(859) 282-8018
Mailing address
112 EASTERN AVE, ELSMERE, KY 41018-1920
(859) 282-0119
(859) 282-8018
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CSW00001070
KY
Other
Enumeration date
06/12/2026
Last updated
06/12/2026
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