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1316676398
TRACEY M ELLIS
NEW YORK, NY
NPI
1316676398
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY 012233-01)
Enumeration Date
2022-06-06
Last Update Date
2022-06-07
Business Address
TRACEY M ELLIS LMHC
10 TIMES SQ
NEW YORK, NY 10018-1851
Phone number: 929-552-2948
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Mailing Address
TRACEY M ELLIS LMHC
10 TIMES SQ
NEW YORK, NY 10018-1851
Phone number: 929-552-2948
Copy
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