Individual
ALEXIS J ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
875 FURR RD, VASS, NC 28394-9106
(910) 660-1900
Mailing address
26 PINECREST PLAZA, BOX 270, SOUTHERN PINES, NC 28387-4301
(910) 660-1900
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P015926
NC
Other
Enumeration date
03/12/2021
Last updated
03/16/2021
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