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Individual

MS. ERIN MARIE ELLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S. CFY-SLP

Contact information

Practice address
2907 WILLIAMSON COUNTY PKWY, MARION, IL 62959-5256
(618) 998-9894
(618) 998-9993
Mailing address
335 ELLIS FARM LN, HARRISBURG, IL 62946-4731
(618) 841-8372

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.003256
IL

Other

Enumeration date
11/04/2014
Last updated
11/04/2014
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