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1053097899
GABRIEL MAXWELL ELLIS
CLARKSVILLE, TN
NPI
1053097899
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-06-26
Last Update Date
2023-06-26
Business Address
GABRIEL MAXWELL ELLIS LPC
2219 LOWES DR W
CLARKSVILLE, TN 37040-6888
Phone number: 931-614-7397
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Mailing Address
GABRIEL MAXWELL ELLIS LPC
3678 FOX TAIL DR
CLARKSVILLE, TN 37040-6246
Phone number: 956-229-9201
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