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1295039998
MICHELLE A ELLISOR
AUSTIN, TX
NPI
1295039998
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: TX 201652)
Enumeration Date
2011-01-10
Last Update Date
2013-07-15
Business Address
-- MICHELLE A ELLISOR LMFT
4601 SPICEWOOD SPRINGS RD BUILDING 4, SUITE 200
AUSTIN, TX 78759-8598
Phone number: 512-467-1376
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Mailing Address
-- MICHELLE A ELLISOR LMFT
4806 PARK LN
AUSTIN, TX 78732-1733
Phone number: 512-294-5595
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