Stephanie Ellis

NPI #1922482124 in Trumann, Arkansas

Provider Information

NPI Number: 1922482124
Entity Type: Individual
Name: Stephanie Ellis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jul 17, 2015
Last Updated: Jul 17, 2015

Practice Location

Address: 339 HIGHWAY 463 N
City: Trumann
State: Arkansas
ZIP Code: 72472-3505
Phone: (870) 483-7039

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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