Individual
CYNTHIA ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SOCIAL WORK
Contact information
Practice address
1061 HARMON AVE, STE 1D03, FORT STEWART, GA 31314-5674
(912) 767-5267
Mailing address
1061 HARMON AVE, STE 1D03, FORT STEWART, GA 31314-5674
(912) 767-5267
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P057000-1
NY
Other
Enumeration date
09/11/2007
Last updated
09/23/2010
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