PAUL RUSSELL ELLISON

ST LOUIS PARK, MN
NPI1326374117
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist Clinical
(Licence: MN  LP6366)
Enumeration Date2009-10-28
Last Update Date2019-03-18
Business Address
DR. PAUL RUSSELL ELLISON PSYD, LP
4027 COUNTY ROAD 25
ST LOUIS PARK, MN 55416
Phone number: 612-925-6033
Mailing Address
DR. PAUL RUSSELL ELLISON PSYD, LP
4240 PARK GLEN RD
ST LOUIS PARK, MN 55416-5427
Phone number: 612-925-6033
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