TARA ELLIS, LCSW

Social Worker - Clinical

Active Individual
NPI: 1861719643

Practice Address

675 MAIN ST
Middletown, CT 06457

Phone: (890) 347-6971

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes 007912 (CT)

Frequently Asked Questions

NPI 1861719643 is the National Provider Identifier for TARA ELLIS, LCSW, a Social Worker - Clinical provider located in Middletown, CT. This NPI was enumerated on May 3, 2010.
TARA ELLIS, LCSW practices at 675 MAIN ST, Middletown, CT 06457.

Quick Facts

NPI
1861719643
Type
Individual
Enumerated
May 3, 2010
Last Updated
Mar 16, 2015

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