Sue Ellison

NPI #1710237607 in O Fallon, Missouri

Provider Information

NPI Number
1710237607
Entity Type
Individual
Name
Sue Ellison
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor
Enumeration Date
Sep 18, 2012
Last Updated
Sep 18, 2012

Practice Location

Address
109 CHURCH ST
ZIP Code
63366-2894
Phone
(314) 540-1759

Specialties & Taxonomy Codes

Specialty
Counselor

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