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1558915561
KURTIS ELLISON
BINGHAMTON, NY
NPI
1558915561
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: NY 105850)
Enumeration Date
2019-07-29
Last Update Date
2019-07-29
Business Address
KURTIS ELLISON LMSW
257 MAIN ST
BINGHAMTON, NY 13905-2522
Phone number: 607-629-6206
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Mailing Address
KURTIS ELLISON LMSW
257 MAIN ST
BINGHAMTON, NY 13905-2522
Phone number: 607-629-6206
Copy
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