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1508479106
TERRY ELLIS REAL
ARLINGTON, MA
NPI
1508479106
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 104674)
Enumeration Date
2020-08-25
Last Update Date
2020-08-25
Business Address
Mr. TERRY ELLIS REAL LICSW
754 MASSACHUSETTS AVENE
ARLINGTON, MA 02476
Phone number: 781-646-7326
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Mailing Address
Mr. TERRY ELLIS REAL LICSW
291 NAHANTON ST
NEWTON, MA 02459-2900
Phone number: 617-965-3023
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