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1275026676
CHAD RICHARD ELLIS
ROCHESTER, MN
NPI
1275026676
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 20046)
Enumeration Date
2018-06-11
Last Update Date
2020-08-27
Business Address
Mr. CHAD RICHARD ELLIS MSW, LICSW
200 1ST ST SW
ROCHESTER, MN 55905
Phone number: 507-284-2511
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Mailing Address
Mr. CHAD RICHARD ELLIS MSW, LICSW
200 1ST ST SW
ROCHESTER, MN 55905-0001
Phone number: 507-284-2511
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