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1043925654
JENNIFER DANIELLE ELLIS
BALTIMORE, MD
NPI
1043925654
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MD 06673)
Enumeration Date
2023-01-18
Last Update Date
2023-04-07
Business Address
JENNIFER DANIELLE ELLIS Ph.D
5510 NATHAN SHOCK DR
BALTIMORE, MD 21224-6823
Phone number: 410-550-6346
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Mailing Address
JENNIFER DANIELLE ELLIS Ph.D
6201 GREENLEIGH AVE
BALTIMORE, MD 21220-2004
Phone number:
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