Individual
ANTHONY M ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15274 MARY ELIZABETH DR, BATON ROUGE, LA 70816-9045
(225) 938-1123
Mailing address
15274 MARY ELIZABETH DR, BATON ROUGE, LA 70816-9045
(225) 938-1123
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6200
LA
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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