KENNETH J ELLIS

MARYSVILLE, WA
NPI1417973850
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist Clinical
(Licence: WA  PY00003392)
Enumeration Date2006-07-15
Last Update Date2016-02-12
Business Address
DR. KENNETH J ELLIS PH.D.
1106 COLUMBIA AVE SUITE 100
MARYSVILLE, WA 98270-4335
Phone number: 360-653-0374
Mailing Address
DR. KENNETH J ELLIS PH.D.
1106 COLUMBIA AVE SUITE 100
MARYSVILLE, WA 98270-4335
Phone number: 360-653-0374
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