Individual
ANNALYSE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, CMHP, CAADC
Contact information
Practice address
500 BARFIELD DR, HASTINGS, MI 49058
(269) 948-8041
Mailing address
500 BARFIELD DR, HASTINGS, MI 49058-9018
(269) 948-8041
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801102389
MI
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/02/2018
Last updated
06/25/2020
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