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1275241259
DANIEL J ELLIS
SPRINGFIELD, OH
NPI
1275241259
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.181768)
Enumeration Date
2022-11-09
Last Update Date
2022-11-09
Business Address
DANIEL J ELLIS CDC-A
651 S LIMESTONE ST
SPRINGFIELD, OH 45505-1965
Phone number: 937-324-1111
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Mailing Address
DANIEL J ELLIS CDC-A
651 S LIMESTONE ST
SPRINGFIELD, OH 45505-1965
Phone number: 937-324-1111
Copy
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