Individual
CHASITY ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4103 S YALE AVE STE B, TULSA, OK 74135-6002
(918) 382-7300
Mailing address
2612 E 88TH ST APT 7, TULSA, OK 74137-1113
(682) 299-3240
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/11/2025
Last updated
01/11/2025
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