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1497244933
AMANDA ELIZABETH ELLSWORTH
LIVONIA, MI
NPI
1497244933
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-05-09
Last Update Date
2018-05-09
Business Address
AMANDA ELIZABETH ELLSWORTH
31557 SCHOOLCRAFT RD STE 200
LIVONIA, MI 48150-1848
Phone number: 734-466-5021
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Mailing Address
AMANDA ELIZABETH ELLSWORTH
31557 SCHOOLCRAFT RD STE 200
LIVONIA, MI 48150-1848
Phone number: 734-466-5021
Copy
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