MR. Tracy D. Ellman, LCSW

NPI #1124359682 in Miami, Oklahoma

Provider Information

NPI Number: 1124359682
Entity Type: Individual
Name: MR. Tracy D. Ellman, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Jan 23, 2010
Last Updated: Jan 29, 2015

Practice Location

Address: 30 C ST NE
City: Miami
State: Oklahoma
ZIP Code: 74354-6316
Phone: (918) 540-1563

Specialties & Taxonomy Codes

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

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