Amanda Renee Ellingwood, BSW, MSW, LSW, ICADD
NPI #1740532472 in Alexandria, Indiana
Provider Information
- NPI Number
- 1740532472
- Entity Type
- Individual
- Name
- Amanda Renee Ellingwood, BSW, MSW, LSW, ICADD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker
- Credential
- BSW, MSW, LSW, ICADD
- Enumeration Date
- Oct 4, 2012
- Last Updated
- Oct 4, 2012
Practice Location
- Address
- 4427 E 800 N
- City
- Alexandria
- State
- Indiana
- ZIP Code
- 46001-8750
- Phone
- (765) 748-8679
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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