Individual
MRS. MANDY JO ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
973 COUNTY HOME RD, SPRINGVILLE, IA 52336-9711
(319) 213-0884
Mailing address
973 COUNTY HOME RD, SPRINGVILLE, IA 52336-9711
(319) 213-0884
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
082170
IA
Other
Enumeration date
08/22/2016
Last updated
08/22/2016
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