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1184288961
MICHAEL FREDERICK ELLIS
WINCHESTER, VA
NPI
1184288961
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904011034)
Enumeration Date
2019-04-26
Last Update Date
2019-04-26
Business Address
MICHAEL FREDERICK ELLIS LCSW
2913 PLEASANT VALLEY AVENUE SUITE 125
WINCHESTER, VA 22601
Phone number: 540-431-7376
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Mailing Address
MICHAEL FREDERICK ELLIS LCSW
118 DUWAMISH TRL
WINCHESTER, VA 22602-1314
Phone number: 540-431-7376
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