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1407211782
DIANTE ELLIS
SPRINGFIELD, MA
NPI
1407211782
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 221442)
Enumeration Date
2015-12-30
Last Update Date
2017-04-13
Business Address
-- DIANTE ELLIS
1049 MAIN ST
SPRINGFIELD, MA 01103-2114
Phone number: 413-739-1100
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Mailing Address
-- DIANTE ELLIS
1049 MAIN ST
SPRINGFIELD, MA 01103-2114
Phone number: 413-739-1100
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