Individual
ROSALIND ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 STARR AVE, STARKVILLE, MS 39759-4032
(662) 268-8059
Mailing address
131 HOTEL ST, CRAWFORD, MS 39743
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
P-0924
MS
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
11/21/2022
Last updated
10/05/2023
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