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1346476546
DIANA A ELLIS
SUNNYVALE, CA
NPI
1346476546
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: CA LCS13911)
Enumeration Date
2009-06-03
Last Update Date
2009-06-03
Business Address
MS. DIANA A ELLIS LCSW
877 W FREMONT AVE STE K5
SUNNYVALE, CA 94087-2319
Phone number: 408-517-9835
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Mailing Address
MS. DIANA A ELLIS LCSW
507 BLUEBERRY TER
SAN JOSE, CA 95129-1902
Phone number: 408-253-3918
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