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1609400639
TERRA L ELLINGSON
WILLISTON, ND
NPI
1609400639
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-02-28
Last Update Date
2020-02-28
Business Address
TERRA L ELLINGSON CMHT
719 EAST 11TH STREET
WILLISTON, ND 58801
Phone number: 701-572-6181
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Mailing Address
TERRA L ELLINGSON CMHT
PO BOX 2291
WILLISTON, ND 58802-2291
Phone number: 701-577-0270
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