Individual
MS. TERESSA ELLZEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
1005 CITY AVE N, RIPLEY, MS 38663-1414
(662) 837-2111
Mailing address
406 DUNCAN ST, RIPLEY, MS 38663-1801
(601) 470-2262
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
977
EMPLOYEE STAFF NUMBER
MS
Enumeration date
01/12/2015
Last updated
01/12/2015
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