LISA M ELLISON

WINFIELD, KS
NPI1659633642
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KS  715)
Enumeration Date2012-06-14
Last Update Date2012-06-14
Business Address
-- LISA M ELLISON LAC
2720 E 12TH AVE
WINFIELD, KS 67156-4114
Phone number: 620-221-6252
Mailing Address
-- LISA M ELLISON LAC
900 E LAHARPE ST
KIRKSVILLE, MO 63501-4520
Phone number: 660-665-1962
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