MR. MARK ELLIS, LMSW

Social Worker - Clinical

Active Individual
NPI: 1336401710

Practice Address

1418 FILLMORE ST
Twin Falls, ID 83301

Phone: (208) 735-2237

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes LCSW-32484 (ID)

Frequently Asked Questions

NPI 1336401710 is the National Provider Identifier for MR. MARK ELLIS, LMSW, a Social Worker - Clinical provider located in Twin Falls, ID. This NPI was enumerated on June 12, 2012.
MR. MARK ELLIS, LMSW practices at 1418 FILLMORE ST, Twin Falls, ID 83301.

Quick Facts

NPI
1336401710
Type
Individual
Enumerated
Jun 12, 2012
Last Updated
Dec 4, 2013

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