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1508684358
ELLIE TATE
SPRINGFIELD, MO
NPI
1508684358
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: MO 2023046498)
Enumeration Date
2024-10-01
Last Update Date
2024-10-01
Business Address
ELLIE TATE Provisional LBA
1311 E WOODHURST DR
SPRINGFIELD, MO 65804-4282
Phone number: 417-889-3121
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Mailing Address
ELLIE TATE Provisional LBA
1311 E WOODHURST DR
SPRINGFIELD, MO 65804-4282
Phone number: 417-889-3121
Copy
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