Individual
MRS. CYNTHIA GRAHAM ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
3311 BURNT MILL DR, WILMINGTON, NC 28403-2654
(910) 251-5817
(910) 251-2652
Mailing address
4609 TALL TREE LN, WILMINGTON, NC 28409-3301
(910) 799-8051
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C004286
NC
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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