Individual
ALEXANDRA SAARI ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, DP
Contact information
Practice address
1209 N 3RD ST, MARQUETTE, MI 49855-3009
(906) 273-0964
(906) 273-2005
Mailing address
1209 N 3RD ST, MARQUETTE, MI 49855-3009
(906) 273-0964
(906) 273-2005
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801117674
MI
104100000X
Social Worker
6851102332
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801102332
LLMSW STATE LICENSURE
MI
01
—
6801117674
STATE LICENSE
MI
Enumeration date
05/01/2018
Last updated
06/28/2024
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