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1023683216
FARRAH R ELLISON-MOORE
HOMEWOOD, IL
NPI
1023683216
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180015717)
Enumeration Date
2021-05-21
Last Update Date
2024-02-22
Business Address
FARRAH R ELLISON-MOORE LPC, NCC
18161 MORRIS AVE
HOMEWOOD, IL 60430-2108
Phone number: 773-368-4878
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Mailing Address
FARRAH R ELLISON-MOORE LPC, NCC
18434 CLYDE RD
HOMEWOOD, IL 60430-3014
Phone number: 773-368-4878
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