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1437800695
THOMAS ELLIS
LAKE MARY, FL
NPI
1437800695
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Professional Name
ELLIS THOMAS
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-01-10
Last Update Date
2022-01-10
Business Address
-- THOMAS ELLIS MS
1540 INTERNATIONAL PARKWAY
LAKE MARY, FL 32746-5096
Phone number: 904-800-8919
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Mailing Address
-- THOMAS ELLIS MS
1540 INTERNATIONAL PARKWAY
LAKE MARY, FL 32746-5096
Phone number: 904-800-8919
Copy
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