Individual
DR. GEORGE THEMEO ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
150 SCENIC DR, HOT SPRINGS, AR 71913-7739
(612) 816-7274
Mailing address
150 SCENIC DR, HOT SPRINGS, AR 71913-7739
(612) 816-7274
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP1353
MN
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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