Individual
ALICIA MARIE ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
309 CRUTCHFIELD ST, DURHAM, NC 27704-2754
(919) 560-7305
(919) 797-1962
Mailing address
309 CRUTCHFIELD ST, DURHAM, NC 27704-2754
(919) 560-7305
(919) 797-1962
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C014680
NC
Other
Enumeration date
08/23/2019
Last updated
03/13/2024
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