Shalisha Ellison

NPI #1376939470 in Hawthorne, New York

Provider Information

NPI Number: 1376939470
Entity Type: Individual
Name: Shalisha Ellison
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Apr 15, 2015
Last Updated: Apr 15, 2015

Practice Location

Address: 500 LINDA AVE
City: Hawthorne
State: New York
ZIP Code: 10532-1313
Phone: (914) 773-7838

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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