Howland Hiram Ellis
Social Worker, Clinical in Fort Walton Beach, FL. Individual provider (NPI-1).
NPI number1346355930
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1346355930
- Entity type
- Individual (NPI-1)
- Name
- Howland Hiram Ellis
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 21, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | SW2913 | FL | Yes |
Practice location
1015 Mar Walt DrFort Walton Beach, FL 32547-6738
Phone 850-259-9501 · Fax 850-994-6958
Mailing address
5091 San Miguel StMilton, FL 32583-5630
Phone 850-259-9501 · Fax 850-994-6958
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