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1235748138
JUSTIN ELLIS
DALLAS, TX
NPI
1235748138
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2020-07-27
Last Update Date
2023-01-09
Business Address
JUSTIN ELLIS
5955 ALPHA RD # 1391
DALLAS, TX 75240-1121
Phone number: 682-318-7944
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Mailing Address
JUSTIN ELLIS
5955 ALPHA RD # 1391
DALLAS, TX 75240-1121
Phone number: 682-318-7944
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