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1255091799
TINA RANAE ELLINGSWORTH
YAKIMA, WA
NPI
1255091799
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WA LW61131937)
Enumeration Date
2021-12-24
Last Update Date
2022-03-22
Business Address
TINA RANAE ELLINGSWORTH LICSW
402 E YAKIMA AVE STE 800
YAKIMA, WA 98901-5410
Phone number: 509-823-6656
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Mailing Address
TINA RANAE ELLINGSWORTH LICSW
PO BOX 11208
YAKIMA, WA 98909-2208
Phone number: 509-594-6310
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