MR. Kerry Ellis, LCSW-C
NPI #1134631757 in Millersville, Maryland
Provider Information
- NPI Number
- 1134631757
- Entity Type
- Individual
- Name
- MR. Kerry Ellis, LCSW-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW-C
- Enumeration Date
- Nov 5, 2017
- Last Updated
- Nov 5, 2017
Practice Location
- Address
- 1111 BENFIELD BLVD STE 104
- City
- Millersville
- State
- Maryland
- ZIP Code
- 21108-3003
- Phone
- (410) 714-2626
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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