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1548653421
IVY LYNN ELLIS
EVANSTON, IL
NPI
1548653421
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.016923)
Enumeration Date
2015-03-16
Last Update Date
2019-06-25
Business Address
IVY LYNN ELLIS L.C.S.W.
1601 SHERMAN AVE STE 510
EVANSTON, IL 60201
Phone number: 847-565-8083
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Mailing Address
IVY LYNN ELLIS L.C.S.W.
1560 N SANDBURG TER APT 2801
CHICAGO, IL 60610-7725
Phone number: 847-565-8083
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