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1437578366
LARRY ELLIS
MILWAUKEE, WI
NPI
1437578366
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WI 129151-121)
Enumeration Date
2014-04-08
Last Update Date
2014-04-08
Business Address
Mr. LARRY ELLIS M.S.W.
11104 W MEADOW CREEK DR
MILWAUKEE, WI 53224-5053
Phone number: 414-461-3134
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Mailing Address
Mr. LARRY ELLIS M.S.W.
11104 W MEADOW CREEK DR
MILWAUKEE, WI 53224-5053
Phone number: 414-461-3134
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