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1609346980
NICOLE MARIE ELLISON
SAULT SAINTE MARIE, MI
NPI
1609346980
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2018-11-29
Last Update Date
2018-11-29
Business Address
NICOLE MARIE ELLISON
301 E SPRUCE ST
SAULT SAINTE MARIE, MI 49783-2134
Phone number: 906-635-5542
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Mailing Address
NICOLE MARIE ELLISON
97 S 4TH ST STE C
ISHPEMING, MI 49849-2168
Phone number: 906-228-9699
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