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1104101245
ELIZABETH LAURIE ELLISON
MADISON, WI
NPI
1104101245
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: WI 970-124)
Enumeration Date
2011-10-20
Last Update Date
2017-12-21
Business Address
ELIZABETH LAURIE ELLISON MS LMFT
1320 MENDOTA ST STE 120
MADISON, WI 53714-1060
Phone number: 608-280-3106
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Mailing Address
ELIZABETH LAURIE ELLISON MS LMFT
25 KESSEL CT STE 105
MADISON, WI 53711-6227
Phone number: 608-358-5111
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