Individual
ELLIE MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
848 W WAVELAND AVE, 1, CHICAGO, IL 60613-4334
(586) 484-2851
Mailing address
848 W WAVELAND AVE, 1, CHICAGO, IL 60613-4334
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
M620213085605
MI
Other
Enumeration date
11/09/2010
Last updated
12/14/2010
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