MRS. Mary Linda Ellis, L.P.C.

NPI #1003964131 in Buford, Georgia

Provider Information

NPI Number
1003964131
Entity Type
Individual
Name
MRS. Mary Linda Ellis, L.P.C.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
L.P.C.
Enumeration Date
Jan 8, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
2070 BUFORD HWY
Address 2
STE 2-D
City
Buford
State
Georgia
ZIP Code
30518-6079
Phone
(770) 271-9442

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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