Individual
JENNIFER ELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
8505 CROSS PARK DR STE 120, AUSTIN, TX 78754-4552
(405) 659-3851
Mailing address
8505 CROSS PARK DR STE 120, AUSTIN, TX 78754-4552
(405) 659-3851
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
62012
TX
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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