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1003185273
PRISCILLA ELLIS-WHITE
STOCKTON, CA
NPI
1003185273
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-12-18
Last Update Date
2011-12-18
Business Address
-- PRISCILLA ELLIS-WHITE
8626 LOWER SACRAMENTO RD SUITE #41
STOCKTON, CA 95210-1835
Phone number: 209-478-2487
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Mailing Address
-- PRISCILLA ELLIS-WHITE
1779 ERICKSON CIR
STOCKTON, CA 95206-6314
Phone number:
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