Ellis Vernon III, LCSW
NPI #1700275625 in Hawthorne, California
Provider Information
- NPI Number
- 1700275625
- Entity Type
- Individual
- Name
- Ellis Vernon III, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Jan 15, 2015
- Last Updated
- Mar 10, 2021
Practice Location
- Address
- 2311 W. EL SEGUNDO BLVD
- City
- Hawthorne
- State
- California
- ZIP Code
- 90250
- Phone
- (323) 241-6733
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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