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1215760301
ANTIONETTE ELLIS
WILSON, NC
NPI
1215760301
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC P018391)
Enumeration Date
2024-08-23
Last Update Date
2024-08-23
Business Address
ANTIONETTE ELLIS
608 NASH ST NE
WILSON, NC 27893-3045
Phone number: 242-291-2200
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Mailing Address
ANTIONETTE ELLIS
3814 CHASE RD NW APT C
WILSON, NC 27896-8820
Phone number:
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