Individual
JANET LYNN ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W., L.C.S.W., PI
Contact information
Practice address
4300 W MAIN ST STE 300, DOTHAN, AL 36305-1313
(334) 446-0076
(334) 446-0203
Mailing address
1414 ELBA HWY, TROY, AL 36079-6020
(334) 670-6726
(334) 670-6731
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2237C
AL
Other
Enumeration date
09/23/2010
Last updated
07/24/2019
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