Individual
MS. COLLEEN ELLIS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
2201 SW 29TH ST, TOPEKA, KS 66611
(785) 266-6806
(785) 266-6546
Mailing address
2201 SW 29TH ST, TOPEKA, KS 66611
(785) 266-6806
(785) 266-6546
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSCSW632
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011064
BCBS
KS
Enumeration date
02/10/2006
Last updated
07/08/2007
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