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1194839308
LAWRENCE A. ELLSWORTH
RALEIGH, NC
NPI
1194839308
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: NC C001070)
Enumeration Date
2006-08-18
Last Update Date
2015-07-29
Business Address
Mr. LAWRENCE A. ELLSWORTH MSSW, LCSW
8520 SIX FORKS RD SUITE 104
RALEIGH, NC 27615-3095
Phone number: 919-815-4984
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Mailing Address
Mr. LAWRENCE A. ELLSWORTH MSSW, LCSW
5104 BRIDGET DR
RALEIGH, NC 27603-9332
Phone number: 919-779-2964
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