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1013111459
EARL EDWARD ELLIS
ELIZABETHTOWN, KY
NPI
1013111459
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: KY 0952)
Enumeration Date
2007-06-11
Last Update Date
2013-08-29
Business Address
-- EARL EDWARD ELLIS M.Ed., LPA
890 RINEYVILLE RD
ELIZABETHTOWN, KY 42701-8927
Phone number: 270-234-9236
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Mailing Address
-- EARL EDWARD ELLIS M.Ed., LPA
890 RINEYVILLE RD
ELIZABETHTOWN, KY 42701-8927
Phone number: 270-234-9236
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