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1538310180
TRACI ELLERSHAW
ELM GROVE, WI
NPI
1538310180
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WI 1964-123)
Enumeration Date
2008-10-01
Last Update Date
2008-10-01
Business Address
-- TRACI ELLERSHAW LCSW
15285 WATERTOWN PLANK RD
ELM GROVE, WI 53122-2339
Phone number: 262-797-2818
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Mailing Address
-- TRACI ELLERSHAW LCSW
7330 W LAYTON AVE
MILWAUKEE, WI 53220-3849
Phone number: 414-817-8896
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