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1134378565
JENNIFER CHARLOTTE ELLWOOD
LAFAYETTE, IN
NPI
1134378565
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 3400529A)
Enumeration Date
2008-09-10
Last Update Date
2023-12-01
Business Address
JENNIFER CHARLOTTE ELLWOOD L.C.S.W.
1116 N 16TH ST
LAFAYETTE, IN 47904-2119
Phone number: 765-423-6300
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Mailing Address
JENNIFER CHARLOTTE ELLWOOD L.C.S.W.
PO BOX 781076
DETROIT, MI 48278-1076
Phone number: 317-528-4800
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