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1164769964
COREY JASON ELLISON
CHARLOTTE, NC
NPI
1164769964
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC A9913)
Enumeration Date
2013-01-14
Last Update Date
2013-01-14
Business Address
Mr. COREY JASON ELLISON LPCA
145 SCALEYBARK RD
CHARLOTTE, NC 28209-2687
Phone number: 704-608-3886
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Mailing Address
Mr. COREY JASON ELLISON LPCA
145 SCALEYBARK RD
CHARLOTTE, NC 28209-2687
Phone number: 704-608-3886
Copy
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