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1245701226
JODI ELISE ELLSWORTH
LAVALE, MD
NPI
1245701226
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MD 12713)
Enumeration Date
2018-12-17
Last Update Date
2018-12-17
Business Address
JODI ELISE ELLSWORTH LCSW-C
2 ELLSWORTH DR
LAVALE, MD 21502-4757
Phone number: 443-912-6153
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Mailing Address
JODI ELISE ELLSWORTH LCSW-C
10100 COUNTRY CLUB RD SE
CUMBERLAND, MD 21502-8339
Phone number:
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