Individual
EMMA LEE ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 SUSAN AVE, HOPKINSVILLE, KY 42240-4951
(270) 962-2255
Mailing address
111 SUSAN AVE, HOPKINSVILLE, KY 42240-4951
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/25/2022
Last updated
10/25/2022
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