James Brayton Ellis

NPI #1013407113 in Kenton, Ohio

Provider Information

NPI Number: 1013407113
Entity Type: Individual
Name: James Brayton Ellis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: May 14, 2018
Last Updated: May 14, 2018

Practice Location

Address: 775 E ELIZA ST
City: Kenton
State: Ohio
ZIP Code: 43326-1486
Phone: (419) 675-2243

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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