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Individual

ELLEN MARIE FRISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
143C WILLOWBROOK DR, SALTILLO, MS 38866-6896
(662) 231-4711
Mailing address
302 S SPRING ST, TUPELO, MS 38804-4853

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C7605
MS

Other

Enumeration date
11/07/2016
Last updated
07/09/2021
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