Individual
LINDA SUSAN ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
304 W TOBIAS ST, FLINT, MI 48503-3975
(810) 235-6812
Mailing address
304 W TOBIAS ST, FLINT, MI 48503-3975
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/20/2013
Last updated
06/19/2024
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