Stephen L Elllis LMSW

NPI 1407007529 - Social Worker - 104100000X

NPI Details
NPI 1407007529
Gender Male
Enumeration Date 10/07/2008
Last Updated 10/07/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
920 W BROADWAY ST
HOBBS NM, 88240-5529, US
Phone (575) 393-3168
Fax (575) 397-4659
Business Location
920 W BROADWAY ST
HOBBS NM, 88240-5529, US
Phone (575) 393-3168
Fax (575) 397-4659
Toxanomy
Taxonomy Code 104100000X
License State New Mexico
License Number X06352
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According to our database, Stephen L Elllis LMSW NPI is 1407007529, taxonomy code is 104100000X and license number is X06352, license state is located at New Mexico. Stephen L Elllis LMSW physically located at 920 W Broadway St, Hobbs NM, 88240-5529. NPI Number Stephen L Elllis LMSW has the Individual type.

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1407007529 NPI number is provided on an as is basis without warranty of any kind. 1407007529 is maintained by the National Plan & Provider Enumeration System. The contents of Stephen L Elllis LMSW are for informational purposes only.