Individual
MISS GILLIAN MAE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
209 MAIN AVE S, SUITE 111, NORTH BEND, WA 98045-8139
(425) 888-3347
Mailing address
209 MAIN AVE S, SUITE 111, NORTH BEND, WA 98045-8139
(425) 888-3347
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60236341
WA
Other
Enumeration date
04/04/2012
Last updated
04/04/2012
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