Individual
ERIC C ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LGSW
Contact information
Practice address
163 COTTAGE DR, LEWISBURG, WV 24901
(304) 647-5577
Mailing address
163 COTTAGE DR, LEWISBURG, WV 24901
(304) 647-5577
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BP00945478
WV
Other
Enumeration date
03/12/2024
Last updated
03/12/2024
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