Individual
ANGELA KELLEY ELLLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3444 WISCONSIN AVE, VICKSBURG, MS 39180-5331
(601) 638-0031
(601) 638-1778
Mailing address
3444 WISCONSIN AVE, VICKSBURG, MS 39180-5331
(601) 638-0031
(601) 638-1778
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
159347
MS
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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