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1245680925
AMANDA ELLIS
ROSEVILLE, MN
NPI
1245680925
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 25258)
Enumeration Date
2016-06-14
Last Update Date
2016-11-15
Business Address
-- AMANDA ELLIS LICSW
2960 SNELLING AVE N STE 210
ROSEVILLE, MN 55113-2458
Phone number: 651-217-8600
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Mailing Address
-- AMANDA ELLIS LICSW
2960 SNELLING AVE N STE 210
ROSEVILLE, MN 55113-2458
Phone number: 651-217-8600
Copy
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