Individual
DORA ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
712 SAINT JOHN ST, GARDEN CITY, KS 67846-5128
(620) 521-1452
Mailing address
712 SAINT JOHN ST, GARDEN CITY, KS 67846-5128
(620) 521-1452
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
07007
KS
Other
Enumeration date
06/20/2022
Last updated
11/05/2025
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