Stephanie Ellis, Licensed Clinical Social Worker, P.c.

NPI #1326630203 in Murrieta, California

Provider Information

NPI Number
1326630203
Entity Type
Organization
Organization Name
Stephanie Ellis, Licensed Clinical Social Worker, P.c.
Primary Specialty
Social Worker - Clinical
Enumeration Date
Feb 11, 2021
Last Updated
Feb 11, 2021

Practice Location

Address
30290 BUCCANEER BAY UNIT D
ZIP Code
92563-8812
Phone
(951) 246-6152

Authorized Official

Name
MR. DANA D ELLIS SR.
Title
BUSINESS MANAGER
Phone
(951) 246-6152

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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