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1104115617
KELLY ELLISON
BEVERLY, MA
NPI
1104115617
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MA 7605)
Enumeration Date
2011-04-05
Last Update Date
2012-09-04
Business Address
Ms. KELLY ELLISON LMHC
800 CUMMINGS CTR
BEVERLY, MA 01915-6175
Phone number: 978-921-1190
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Mailing Address
Ms. KELLY ELLISON LMHC
46 MOYNIHAN RD
SOUTH HAMILTON, MA 01982-1611
Phone number: 978-921-1190
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