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1134631757
KERRY ELLIS
MILLERSVILLE, MD
NPI
1134631757
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MD 20829)
Enumeration Date
2017-11-05
Last Update Date
2017-11-05
Business Address
Mr. KERRY ELLIS LCSW-C
1111 BENFIELD BLVD STE 104
MILLERSVILLE, MD 21108-3003
Phone number: 410-714-2626
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Mailing Address
Mr. KERRY ELLIS LCSW-C
260A HILLTOP LN APT 102
ANNAPOLIS, MD 21403-5809
Phone number: 410-714-2626
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