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1033447354
TAMMY KENDAL ELLISON
ALBUQUERQUE, NM
NPI
1033447354
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: NM X-06814)
Enumeration Date
2009-11-24
Last Update Date
2022-07-21
Business Address
-- TAMMY KENDAL ELLISON LCSW
3003 LOUISIANA BLVD NE
ALBUQUERQUE, NM 87110-2734
Phone number: 505-401-4088
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Mailing Address
-- TAMMY KENDAL ELLISON LCSW
PO BOX 30742
ALBUQUERQUE, NM 87190-0742
Phone number: 505-401-4088
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