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1285372870
STACY ELLENBERG
ITHACA, NY
NPI
1285372870
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: NY 112047-01)
Enumeration Date
2022-05-24
Last Update Date
2022-05-24
Business Address
STACY ELLENBERG PHD
6 YARDLEY GRN
ITHACA, NY 14850-1259
Phone number: 508-245-2276
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Mailing Address
STACY ELLENBERG PHD
6 YARDLEY GRN
ITHACA, NY 14850-1259
Phone number: 508-245-2276
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