Individual
TANISHA LASHAY ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13128 THYME WAY, SAINT HEDWIG, TX 78152-0257
(210) 831-4668
Mailing address
13128 THYME WAY, SAINT HEDWIG, TX 78152-0257
(121) 083-1466
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/24/2022
Last updated
02/24/2022
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