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1316627326
ERICKA MARIE ELLISON
NORTHRIDGE, CA
NPI
1316627326
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA 95029523)
Enumeration Date
2023-07-24
Last Update Date
2024-12-27
Business Address
ERICKA MARIE ELLISON
17075 DEVONSHIRE ST STE 204
NORTHRIDGE, CA 91325-5408
Phone number: 661-373-6735
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Mailing Address
ERICKA MARIE ELLISON
3610 GLENRIDGE DR
SHERMAN OAKS, CA 91423-4639
Phone number: 818-631-3547
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