Individual
SUZANNE ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
333 COMMERCE ST STE 700, NASHVILLE, TN 37201-1835
(610) 310-2706
Mailing address
333 COMMERCE ST STE 700, NASHVILLE, TN 37201-1835
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW137057
PA
Other
Enumeration date
04/19/2022
Last updated
04/19/2022
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