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1083305973
JENNY ELLIS
LOS ANGELES, CA
NPI
1083305973
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-05-19
Last Update Date
2023-05-19
Business Address
JENNY ELLIS
303 E 52ND ST
LOS ANGELES, CA 90011-4513
Phone number: 323-918-2139
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Mailing Address
JENNY ELLIS
925 CAROB WAY APT 4
MONTEBELLO, CA 90640-9403
Phone number: 231-218-9180
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