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1598279853
BRIAN TODD ELLIS
WEST DES MOINES, IA
NPI
1598279853
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: IA 087137)
Enumeration Date
2017-11-24
Last Update Date
2017-11-24
Business Address
BRIAN TODD ELLIS LMSW
1501 42ND ST
WEST DES MOINES, IA 50266-1005
Phone number: 515-333-9734
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Mailing Address
BRIAN TODD ELLIS LMSW
PO BOX 35944
DES MOINES, IA 50315-0326
Phone number: 515-333-9734
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