Individual
MS. ANDREA URSULA ELLINGSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSSW, CSW
Contact information
Practice address
1436 S SHELBY ST, LOUISVILLE, KY 40217-1107
(502) 595-8715
Mailing address
8803 JUNIPER SPRINGS PL, LOUISVILLE, KY 40242-7659
(502) 595-8715
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
33007713A
IN
104100000X
Social Worker
Primary
7305
KY
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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