Sandy S. Ellis, MSW, LCSW

NPI #1063496560 in Buffalo, Missouri

Provider Information

NPI Number: 1063496560
Entity Type: Individual
Name: Sandy S. Ellis, MSW, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: MSW, LCSW
Enumeration Date: Nov 30, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 202 N WALNUT ST
City: Buffalo
State: Missouri
ZIP Code: 65622-7449
Phone: (417) 345-8855

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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