KENDON ELLERMAN
Social Worker - Clinical
Active
Individual
NPI: 1104792860
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | C7432 (MS) |
Frequently Asked Questions
NPI 1104792860 is the National Provider Identifier for KENDON ELLERMAN, a Social Worker - Clinical provider located in Hattiesburg, MS. This NPI was enumerated on October 10, 2025.
KENDON ELLERMAN practices at 108 VICTORIA DR, Hattiesburg, MS 39402.
Quick Facts
- NPI
- 1104792860
- Type
- Individual
- Enumerated
- Oct 10, 2025
- Last Updated
- Oct 10, 2025
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