Individual
MR. DAVID LOUIS ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
318A E MAIN ST, HAVELOCK, NC 28532-2214
(252) 646-1172
Mailing address
318A E MAIN ST, HAVELOCK, NC 28532-2214
(252) 646-1172
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C009517
NC
Other
Enumeration date
11/19/2012
Last updated
08/26/2015
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