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1407007529
STEPHEN L ELLLIS
HOBBS, NM
NPI
1407007529
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: NM X06352)
Enumeration Date
2008-10-07
Last Update Date
2008-10-07
Business Address
STEPHEN L ELLLIS LMSW
920 W BROADWAY ST
HOBBS, NM 88240-5529
Phone number: 575-393-3168
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Mailing Address
STEPHEN L ELLLIS LMSW
920 W BROADWAY ST
HOBBS, NM 88240-5529
Phone number: 575-393-3168
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