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1154743367
VICTORIA ELLINGTON-DEITZ
MADISON, WI
NPI
1154743367
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Former Name
VICTORIA M. ELLINGTON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WI 1999-226)
Enumeration Date
2014-01-08
Last Update Date
2014-02-07
Business Address
-- VICTORIA ELLINGTON-DEITZ LPC-IT
2002 ATWOOD AVE SUITE 217
MADISON, WI 53704-5368
Phone number: 608-244-4859
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Mailing Address
-- VICTORIA ELLINGTON-DEITZ LPC-IT
2002 ATWOOD AVE SUITE 217
MADISON, WI 53704-5368
Phone number: 608-244-4859
Copy
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