Individual
GAIL LYNN ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPSS/ FCPSS
Contact information
Practice address
1629 MADISON AVE, COVINGTON, KY 41011-3317
(859) 814-8022
Mailing address
122 PINEHURST DR APT 4, FLORENCE, KY 41042-2728
(859) 652-4550
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
KY
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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