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1093869240
MARY JENNIFER MARTIN-ELLISON
DURHAM, NC
NPI
1093869240
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: NC C006082)
Enumeration Date
2007-01-23
Last Update Date
2013-06-12
Business Address
MARY JENNIFER MARTIN-ELLISON LCSW
2670 DURHAM-CHAPEL HILL BLVD
DURHAM, NC 27707-2829
Phone number: 919-251-9001
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Mailing Address
MARY JENNIFER MARTIN-ELLISON LCSW
2670 DURHAM-CHAPEL HILL BLVD
DURHAM, NC 27707-2829
Phone number: 919-251-9001
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