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Individual

DANA ELLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.S.W.

Contact information

Practice address
111 S GRANT AVE, COLUMBUS, OH 43215-4701
(614) 566-8383
Mailing address
111 S GRANT AVE STE 342, COLUMBUS, OH 43215-4701
(614) 566-8383
(614) 566-8501

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S1500686
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51500686
STATE OF OHIO COUNSELOR, SOCIAL WORKER, MARRIAGE AND FAMILY THERAPIST BOARD
OH
Enumeration date
02/19/2016
Last updated
01/16/2025
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