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1528626009
THOMAS DOUGLAS ELLISON
NEW YORK, NY
NPI
1528626009
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 027539)
Enumeration Date
2019-05-30
Last Update Date
2019-05-30
Business Address
THOMAS DOUGLAS ELLISON MA, CCC-SLP, TSSLD
5030 BROADWAY STE 809
NEW YORK, NY 10034-1666
Phone number: 212-304-0400
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Mailing Address
THOMAS DOUGLAS ELLISON MA, CCC-SLP, TSSLD
259 BENNETT AVE APT 7G
NEW YORK, NY 10040-2485
Phone number:
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