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1497101000
STEVEN ELLISON
SAN PABLO, CA
NPI
1497101000
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA ASW70688)
Enumeration Date
2016-05-12
Last Update Date
2016-05-12
Business Address
Mr. STEVEN ELLISON MSW
2523 EL PORTAL DR SUITE 201
SAN PABLO, CA 94806-3305
Phone number: 510-439-3130
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Mailing Address
Mr. STEVEN ELLISON MSW
37233 PANTON TER APARTMENT 1023
FREMONT, CA 94536-1932
Phone number: 267-304-3871
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