Individual
HANNAH ELISABETH ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3304 S M ST, FORT SMITH, AR 72903-2903
(479) 785-4677
Mailing address
8108 W CREEK RD, HARTFORD, AR 72938-9088
(830) 483-0366
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
201164
AR
Other
Enumeration date
07/30/2020
Last updated
07/30/2020
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