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1184337941
MONIFA ELLISADDIE
LOCUST GROVE, GA
NPI
1184337941
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Former Name
MONIFA ELLIS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 132372)
Enumeration Date
2022-12-26
Last Update Date
2022-12-26
Business Address
MONIFA ELLISADDIE LMFT
1012 BATTERSEA PL
LOCUST GROVE, GA 30248-2077
Phone number: 818-925-0569
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Mailing Address
MONIFA ELLISADDIE LMFT
1012 BATTERSEA PL
LOCUST GROVE, GA 30248-2077
Phone number: 908-644-4830
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