Melanie Faye Ellison

NPI #1952128514 in Ada, Oklahoma

Provider Information

NPI Number: 1952128514
Entity Type: Individual
Name: Melanie Faye Ellison
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Sep 25, 2024
Last Updated: Sep 25, 2024

Practice Location

Address: 1300 HOPPE BLVD STE 6
City: Ada
State: Oklahoma
ZIP Code: 74820-2319
Phone: (580) 235-0274

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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