Individual
MS. CHANDRA ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLMSW
Contact information
Practice address
703 CALVIN AVERY DR, WEST MEMPHIS, AR 72301-6501
(870) 732-1878
Mailing address
703 CALVIN AVERY DR, WEST MEMPHIS, AR 72301-6501
(870) 732-1878
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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