Individual
BARBARA ANN ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
207 ALEXANDER AVE APT 13C, BRONX, NY 10454-3809
(718) 993-6951
Mailing address
207 ALEXANDER AVE APT 13C, BRONX, NY 10454-3809
(718) 993-6951
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R034443-1
NY
Other
Enumeration date
11/01/2017
Last updated
11/01/2017
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