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Angela Ellison

Case Manager/Care Coordinator in Detroit, MI. Individual provider (NPI-1).

NPI number1497948392
StatusActive
Last updated in NPPESAug 23, 2007

Details

NPI
1497948392
Entity type
Individual (NPI-1)
Name
Mrs. Angela Ellison
Sex
Female
Sole proprietor
No
Enumeration date
Aug 23, 2007
Last updated
Aug 23, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator6802071382MIYes

Practice location

220 Bagley St
Suite 700
Detroit, MI 48226-1400

Phone 313-961-0346 · Fax 313-961-0456

Mailing address

220 Bagley St
Suite 700
Detroit, MI 48226-1400

Phone 313-961-0346 · Fax 313-961-0456

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