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1659633642
LISA M ELLISON
WINFIELD, KS
NPI
1659633642
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: KS 715)
Enumeration Date
2012-06-14
Last Update Date
2012-06-14
Business Address
LISA M ELLISON LAC
2720 E 12TH AVE
WINFIELD, KS 67156-4114
Phone number: 620-221-6252
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Mailing Address
LISA M ELLISON LAC
900 E LAHARPE ST
KIRKSVILLE, MO 63501-4520
Phone number: 660-665-1962
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