Individual
HAYLEY ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1605 CHANTILLY DR NE STE 110, ATLANTA, GA 30324-3277
(404) 785-5437
Mailing address
1605 CHANTILLY DR NE STE 110, ATLANTA, GA 30324-3277
(404) 785-5437
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW007806
GA
Other
Enumeration date
01/07/2022
Last updated
01/07/2022
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