SHANNON ELLIS

Social Worker - Clinical

Active Individual
NPI: 1417604331

Practice Address

75 WOOD GLEN LN
Columbus, MS 39705

Phone: (662) 574-2150

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X No 6518C (AL)

Frequently Asked Questions

NPI 1417604331 is the National Provider Identifier for SHANNON ELLIS, a Social Worker - Clinical provider located in Columbus, MS. This NPI was enumerated on March 10, 2022.
SHANNON ELLIS practices at 75 WOOD GLEN LN, Columbus, MS 39705.

Quick Facts

NPI
1417604331
Type
Individual
Enumerated
Mar 10, 2022
Last Updated
Oct 16, 2025

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