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1497090724
DARA ELLIS
AUSTIN, TX
NPI
1497090724
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 54210)
Enumeration Date
2012-11-27
Last Update Date
2012-11-27
Business Address
-- DARA ELLIS LCSW
8400 N MOPAC EXPY SUITE 302
AUSTIN, TX 78759-8328
Phone number: 512-537-6322
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Mailing Address
-- DARA ELLIS LCSW
2809 W WILLIAM CANNON DR APT B203
AUSTIN, TX 78745-5145
Phone number: 512-537-6322
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