Individual
MRS. DEBBIE L. ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
4212 OLD GRAND AVE, SUITE 102, GURNEE, IL 60031-2708
(847) 336-5621
(847) 336-2594
Mailing address
4212 OLD GRAND AVE, SUITE 102, GURNEE, IL 60031-2708
(847) 336-5621
(847) 336-2594
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
IL
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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