Individual
MS. DEBRA RAE ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
325 11TH AVE, TWO HARBORS, MN 55616-1300
(218) 834-5520
(218) 834-4264
Mailing address
1401 E 1ST ST, DULUTH, MN 55805-2407
(218) 728-4491
(218) 728-4404
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10382
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
868021300
—
MN
Enumeration date
06/30/2006
Last updated
10/29/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us