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1285261230
MELISSA ELLSWORTH
SOUTH JORDAN, UT
NPI
1285261230
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: UT 11172768-2501)
Enumeration Date
2020-03-26
Last Update Date
2020-10-06
Business Address
Dr. MELISSA ELLSWORTH PhD
881 W BAXTER DR STE 100
SOUTH JORDAN, UT 84095-8506
Phone number: 801-382-8702
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Mailing Address
Dr. MELISSA ELLSWORTH PhD
3349 S COPPER BEND RD
MAGNA, UT 84044-3614
Phone number: 240-478-8892
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