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1528109220
BRANDY GRACE ELLIS
LEAVENWORTH, KS
NPI
1528109220
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC1900X Psychologist Counseling
Enumeration Date
2007-02-08
Last Update Date
2007-07-08
Business Address
DR. BRANDY GRACE ELLIS PH.D.
4101 S. 4TH STREET TRAFFICWAY
LEAVENWORTH, KS 66048
Phone number: 913-682-2000
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Mailing Address
DR. BRANDY GRACE ELLIS PH.D.
4101 S. 4TH STREET TRAFFICWAY
LEAVENWORTH, KS 66048
Phone number: 913-682-2000
Copy
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