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1053447714
EBONY ELLIS
OAKLAND, CA
NPI
1053447714
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2007-02-26
Last Update Date
2020-10-07
Business Address
Ms. EBONY ELLIS
2607 MYRTLE ST
OAKLAND, CA 94607-3415
Phone number: 510-835-1393
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Mailing Address
Ms. EBONY ELLIS
747 52ND ST
OAKLAND, CA 94609-1809
Phone number: 510-428-3000
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