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1144357542
THOMAS MATTHEW ELLIS
SAINT PAUL, MN
NPI
1144357542
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: MN 1017)
Enumeration Date
2007-02-27
Last Update Date
2007-07-08
Business Address
MR. THOMAS MATTHEW ELLIS MA LMFT
1133 GRAND AVE
SAINT PAUL, MN 55105-2629
Phone number: 651-641-0177
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Mailing Address
MR. THOMAS MATTHEW ELLIS MA LMFT
1133 GRAND AVE
SAINT PAUL, MN 55105-2629
Phone number: 651-641-0177
Copy
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