DIANTE ELLIS

SPRINGFIELD, MA
NPI1407211782
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MA  221442)
Enumeration Date2015-12-30
Last Update Date2017-04-13
Business Address
-- DIANTE ELLIS
1049 MAIN ST
SPRINGFIELD, MA 01103-2114
Phone number: 413-739-1100
Mailing Address
-- DIANTE ELLIS
1049 MAIN ST
SPRINGFIELD, MA 01103-2114
Phone number: 413-739-1100
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