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1104647981
SOPHIA ELLIS
SPRINGFIELD, MO
NPI
1104647981
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: MO RBT-24-0474-832946)
Enumeration Date
2024-10-23
Last Update Date
2024-10-23
Business Address
SOPHIA ELLIS
3048 S CLIFTON AVE SUITE 112
SPRINGFIELD, MO 65807
Phone number: 417-818-5784
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Mailing Address
SOPHIA ELLIS
3048 S CLIFTON AVE STE 112
SPRINGFIELD, MO 65807-6045
Phone number: 417-818-5784
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