Individual
ASHLEY ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4201 SOUTH CONGRESS, AUSTIN, TX 78745
(512) 697-8614
Mailing address
4201 S CONGRESS AVE, AUSTIN, TX 78745-1198
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
27300
TX
Other
Enumeration date
09/08/2017
Last updated
09/08/2017
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