Individual
MRS. RUTH STRAIT ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW, LISW-CP, ACSW
Contact information
Practice address
1825 SAINT JULIAN PL STE G6, COLUMBIA, SC 29204-2431
(803) 422-4291
Mailing address
PO BOX 6857, COLUMBIA, SC 29260-6857
(803) 422-4291
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
4464
SC
104100000X
Social Worker
Primary
4464
SC
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
01/23/2022
Last updated
01/15/2024
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