Individual
MISS DANIELLE LYNN ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1115 BALL AVE NE, GRAND RAPIDS, MI 49505-5904
(616) 456-6571
Mailing address
4019 BURKWOOD DR, PORTAGE, MI 49024-1024
(269) 548-8233
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/02/2024
Last updated
05/09/2024
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