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1235950643
TABATHA ELLIS
PRINCETON, WV
NPI
1235950643
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
(Licence: WV 24-989)
Enumeration Date
2024-10-18
Last Update Date
2024-10-18
Business Address
TABATHA ELLIS PRSS
200 12TH STREET EXT
PRINCETON, WV 24740-2329
Phone number: 304-732-6043
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Mailing Address
TABATHA ELLIS PRSS
200 12TH STREET EXT
PRINCETON, WV 24740-2329
Phone number: 304-732-6043
Copy
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