Individual
MS. CARLITA MARIA ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3580 WILSHIRE BLVD, 2000, LOS ANGELES, CA 90010-2501
(213) 381-1250
(213) 383-4803
Mailing address
3580 WILSHIRE BLVD, 2000, LOS ANGELES, CA 90010-2501
(213) 381-1250
(213) 383-4803
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/04/2010
Last updated
06/04/2010
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