Individual
DEBORAH A ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, ICCE
Contact information
Practice address
301 GREAT TEAYS BLVD STE 6, SCOTT DEPOT, WV 25560-9552
(304) 757-6999
(304) 201-5019
Mailing address
3911 TEAYS VALLEY RD, HURRICANE, WV 25526-9604
(304) 757-6999
(304) 201-5065
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
01/28/2011
Last updated
01/28/2011
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