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1477055390
ALEX DS ELLIS
BISHOP, CA
NPI
1477055390
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Former Name
DEBRASUE ALEXANDRIA ELLIS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 27998)
Enumeration Date
2018-03-07
Last Update Date
2019-07-15
Business Address
Ms. ALEX DS ELLIS MFT
129 EAST LINE ST
BISHOP, CA 93514
Phone number: 760-937-0711
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Mailing Address
Ms. ALEX DS ELLIS MFT
PO BOX 1554
BISHOP, CA 93515
Phone number: 760-937-0711
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