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1548893845
NICOLE ELLIS
TEMPE, AZ
NPI
1548893845
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AZ LCSW-17126)
Enumeration Date
2020-02-15
Last Update Date
2022-05-11
Business Address
NICOLE ELLIS LCSW
2120 S MCCLINTOCK DR STE 105
TEMPE, AZ 85282-2692
Phone number: 480-804-0326
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Mailing Address
NICOLE ELLIS LCSW
1400 E SOUTHERN AVE STE 735
TEMPE, AZ 85282-5699
Phone number: 480-804-0326
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