KEITH ELLIS

SOMERVILLE, MA
NPI1194166942
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2013-07-09
Last Update Date2013-07-09
Business Address
-- KEITH ELLIS
11 WARD ST
SOMERVILLE, MA 02143-4214
Phone number: 617-629-6790
Mailing Address
-- KEITH ELLIS
40 LOCKE ST UNIT 525
HAVERHILL, MA 01830-5503
Phone number:
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