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1205150687
SARA MICHELLE ELLSWORTH
OLYMPIA, WA
NPI
1205150687
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Former Name
SARA MICHELLE ANDERSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA LH00010745)
Enumeration Date
2010-03-15
Last Update Date
2010-03-15
Business Address
-- SARA MICHELLE ELLSWORTH MA
3624 ENSIGN RD NE SUITE 5
OLYMPIA, WA 98506-5074
Phone number: 360-412-7950
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Mailing Address
-- SARA MICHELLE ELLSWORTH MA
1498 SKYLINE RIDGE LN SW
TUMWATER, WA 98512-0413
Phone number: 360-888-5033
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