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1629088240
BONNIE LEONE ELLIS
DANVILLE, IL
NPI
1629088240
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149002851)
Enumeration Date
2006-08-08
Last Update Date
2007-07-08
Business Address
-- BONNIE LEONE ELLIS LCSW
1900 E MAIN VA ILLIANA HEALTH CARE SYSTEM
DANVILLE, IL 61832
Phone number: 217-554-3163
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Mailing Address
-- BONNIE LEONE ELLIS LCSW
2414 ST ANDREWS RD
URBANA, IL 61802-6924
Phone number: 217-344-0759
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