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1184351108
RICHARD ELLKS
STOCKTON, CA
NPI
1184351108
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-08-01
Last Update Date
2022-08-01
Business Address
RICHARD ELLKS
2495 W MARCH LN STE 125
STOCKTON, CA 95207-8224
Phone number: 209-465-1080
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Mailing Address
RICHARD ELLKS
2495 W MARCH LN STE 125
STOCKTON, CA 95207-8224
Phone number:
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