Marc R Ellison, LICSWA
NPI #1891261855 in Issaquah, Washington
Provider Information
- NPI Number
- 1891261855
- Entity Type
- Individual
- Name
- Marc R Ellison, LICSWA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSWA
- Enumeration Date
- Oct 17, 2018
- Last Updated
- Dec 5, 2018
Practice Location
- Address
- 414 FRONT ST N
- City
- Issaquah
- State
- Washington
- ZIP Code
- 98027-2914
- Phone
- (425) 392-6367
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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