MS. Mary Lucena Ellis, MA-CCC/SLP
NPI #1821297300 in Rock Island, Illinois
Provider Information
- NPI Number
- 1821297300
- Entity Type
- Individual
- Name
- MS. Mary Lucena Ellis, MA-CCC/SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MA-CCC/SLP
- Enumeration Date
- Jul 13, 2007
- Last Updated
- Jul 13, 2007
Practice Location
- Address
- 2810 45TH ST
- City
- Rock Island
- State
- Illinois
- ZIP Code
- 61201-5860
- Phone
- (309) 737-6304
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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