Individual
MRS. JESSICA ELLINGSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4001 W CAPITOL DR, MILWAUKEE, WI 53216-2530
(414) 810-6691
(866) 719-3024
Mailing address
8008 104TH AVE, PLEASANT PRAIRIE, WI 53158-1230
(920) 784-9727
(866) 719-3024
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2126-226
WI
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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