Individual
NANCY K ELLIS-ORDWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LCSW
Contact information
Practice address
1022A NORTHEAST DR, JEFFERSON CITY, MO 65109
(573) 635-8668
Mailing address
1022A NORTHEAST DR, JEFFERSON CITY, MO 65109
(573) 635-8668
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1003C
AL
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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