Tina Ellis

NPI #1124392592 in Magnolia, Arkansas

Provider Information

NPI Number
1124392592
Entity Type
Individual
Name
Tina Ellis
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor
Enumeration Date
Mar 2, 2012
Last Updated
Mar 2, 2012

Practice Location

Address
229 A ST
ZIP Code
71753-3653
Phone
(870) 367-2141

Specialties & Taxonomy Codes

Specialty
Counselor

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