Individual
ERICA ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1601 KIRKWOOD HWY, WILMINGTON, DE 19805-4917
(302) 994-2511
Mailing address
1601 KIRKWOOD HWY, WILMINGTON, DE 19805-4917
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW019512
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CW019512
LCSW
PA
Enumeration date
11/21/2011
Last updated
08/29/2019
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