Javious Ellis MSW
Clinical Social Worker in Shelby, NC(View on Map)
Full Name
Javious Ellis MSW
NPI Number
1821611518
NPI Type
Individual Provider
Gender
Male
Enumeration Date
05/28/2020
Specialties
(Taxonomies)Licenses
State
North Carolina
License Number
P014922
Contact
Information
Purpose
Mailing
Location
Address
106 ENOLA DR
809 N LAFAYETTE ST STE A
City
Shelby
Shelby
State
NC
NC
Postal Code
28150-8122
28150-3886
Country
US
US
Telephone Number
(704) 692-5062
(704) 692-5062
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 01/27/2021
Provider Address
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