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1477378438
BARBARA J ELLIS
LOGAN, WV
NPI
1477378438
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
(Licence: WV 24-9154)
Enumeration Date
2024-11-15
Last Update Date
2024-11-15
Business Address
BARBARA J ELLIS
174 LMAH CENTER RD
LOGAN, WV 25601-4058
Phone number: 304-792-7130
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Mailing Address
BARBARA J ELLIS
PO BOX 176
LOGAN, WV 25601-0176
Phone number: 304-792-7130
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