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1649765009
ELLISON CULLEN
MERRILLVILLE, IN
NPI
1649765009
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2018-06-28
Last Update Date
2019-10-31
Business Address
ELLISON CULLEN
8200 GEORGIA ST
MERRILLVILLE, IN 46410-6227
Phone number: 219-791-1400
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Mailing Address
ELLISON CULLEN
8200 GEORGIA ST
MERRILLVILLE, IN 46410-6227
Phone number:
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