Dawn Marie Ellis, LICSW, LADC
NPI #1790275196 in Thief River Falls, Minnesota
Provider Information
- NPI Number
- 1790275196
- Entity Type
- Individual
- Name
- Dawn Marie Ellis, LICSW, LADC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- LICSW, LADC
- Enumeration Date
- May 11, 2018
- Last Updated
- May 11, 2018
Practice Location
- Address
- 120 LABREE AVE S
- State
- Minnesota
- ZIP Code
- 56701-2819
- Phone
- (218) 683-4349
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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