Individual
ROSEMARY ELLENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2812 E BIJOU ST, COLORADO SPRINGS, CO 80909-6371
(719) 457-0660
(719) 457-0766
Mailing address
1130 GARLOCK LN, COLORADO SPRINGS, CO 80918-3118
(719) 457-0660
(719) 457-0766
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
UNLICENSED
CO
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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