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1003420563
ELLIS BERNSTEIN
MOUNTAIN BRK, AL
NPI
1003420563
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: GA PSY004430)
Enumeration Date
2020-09-02
Last Update Date
2020-09-02
Business Address
ELLIS BERNSTEIN PH.D.
3336 E BRIARCLIFF RD
MOUNTAIN BRK, AL 35223-1307
Phone number: 205-478-9492
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Mailing Address
ELLIS BERNSTEIN PH.D.
3336 E BRIARCLIFF RD
MOUNTAIN BRK, AL 35223-1307
Phone number: 205-478-9492
Copy
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