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1205551330
RYAN ELLINGSEN
BRIGHTON, CO
NPI
1205551330
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: CO CSW.09928595)
Enumeration Date
2022-10-11
Last Update Date
2022-10-11
Business Address
RYAN ELLINGSEN LCSW
409 DAYLILY ST
BRIGHTON, CO 80601-6619
Phone number: 847-275-9302
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Mailing Address
RYAN ELLINGSEN LCSW
409 DAYLILY ST
BRIGHTON, CO 80601-6619
Phone number:
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