Annaliese Dianna Ellsworth, LCSW, MSW

NPI #1164838116 in Canby, Oregon

Provider Information

NPI Number: 1164838116
Entity Type: Individual
Name: Annaliese Dianna Ellsworth, LCSW, MSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW, MSW
Enumeration Date: Jul 9, 2014
Last Updated: May 24, 2018

Practice Location

Address: 550 NW 3RD AVE STE BANDC
City: Canby
State: Oregon
ZIP Code: 97013
Phone: (503) 342-2510

Specialties & Taxonomy Codes

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

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