Individual
AALIYAH LESHAY ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
152 MS-7, OXFORD, MS 38655, OXFORD, MS 38655
(662) 234-7521
(662) 236-3071
Mailing address
1021 MOLLY BARR RD APT 52, OXFORD, MS 38655-2491
(601) 214-8655
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/21/2021
Last updated
04/21/2021
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