Mkayla Taylor Ellsworth, LBSW, BS
NPI #1306674700 in Bloomfield, New Mexico
Provider Information
- NPI Number
- 1306674700
- Entity Type
- Individual
- Name
- Mkayla Taylor Ellsworth, LBSW, BS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - School
- Credential
- LBSW, BS
- Enumeration Date
- Jul 25, 2024
- Last Updated
- Jul 25, 2024
Practice Location
- Address
- 520 N 1ST ST
- City
- Bloomfield
- State
- New Mexico
- ZIP Code
- 87413-5307
- Phone
- (505) 634-3400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - School — School |
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