JEROME L ELLIS

GOLDSBORO, NC
NPI1023008638
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NC  C004119)
Enumeration Date2005-10-25
Last Update Date2009-01-22
Business Address
Mr. JEROME L ELLIS
1050 JABARRAH AVE SEYMOUR JOHNSON AFB
GOLDSBORO, NC 27531-2310
Phone number: 919-722-0928
Mailing Address
Mr. JEROME L ELLIS
1050 JABARRAH AVE SEYMOUR JOHNSON AFB
GOLDSBORO, NC 27531-2310
Phone number: 919-722-0928
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