Ellis, Diane Carol
Ellis, Diane Carol is an sole proprietor health care provider with primary practice located at 5527 W Marconi Ave , Glendale AZ 85306-2402. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ellis, Diane Carol can be contacted via phone (602) 329-7938.Contact Information
Primary practice address
5527 W Marconi Ave
Glendale AZ 85306-2402
Phone: (602) 329-7938
Fax: (602) 307-5021
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW-2855 | Arizona |
Profile Details
| NPI number | 1982091690 |
|---|---|
| LBN Legal business name | Ellis, Diane Carol |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 20th, 2015 |
| Last updated | Apr 20th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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