KRYSTAL ROSE MARIE ELLSWORTH

BROOKLYN, NY
NPI1023864402
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
(Licence: KS  106S00000X)
Enumeration Date2024-04-26
Last Update Date2024-04-26
Business Address
Mrs. KRYSTAL ROSE MARIE ELLSWORTH
6214 24TH AVE
BROOKLYN, NY 11204-3319
Phone number: 000-000-0000
Mailing Address
Mrs. KRYSTAL ROSE MARIE ELLSWORTH
6214 24TH AVE
BROOKLYN, NY 11204-3319
Phone number:
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