Dakota Lane Coriene Ellis

NPI #1629643549 in Kennett, Missouri

Provider Information

NPI Number
1629643549
Entity Type
Individual
Name
Dakota Lane Coriene Ellis
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
May 24, 2021
Last Updated
May 24, 2021

Practice Location

Address
875 STATE ROUTE VV
ZIP Code
63857-9108
Phone
(573) 888-0642

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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