Individual
ELIZABETH ANNE ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSWAIC
Contact information
Practice address
953 HODGIN ST APT 134, SEDRO WOOLLEY, WA 98284-4313
(509) 596-1388
Mailing address
953 HODGIN ST APT 134, SEDRO WOOLLEY, WA 98284-4313
(817) 789-2363
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
SC61363624
WA
1041C0700X
Clinical Social Worker
Primary
SWI.LW.70053853
WA
Other
Enumeration date
09/07/2022
Last updated
04/20/2026
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