Individual
AMY LYNN ELLSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
939 S STATE ST, WESTERVILLE, OH 43081-3346
(740) 572-7457
Mailing address
939 S STATE ST, WESTERVILLE, OH 43081-3346
(740) 572-7457
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP11295
OH
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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