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1669212890
MISTY ROBINSON ELLIS
CLEMMONS, NC
NPI
1669212890
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: NC P020742)
Enumeration Date
2024-05-27
Last Update Date
2024-06-19
Business Address
MISTY ROBINSON ELLIS
2554 LEWISVILLE CLEMMONS RD STE 112
CLEMMONS, NC 27012-9927
Phone number: 336-283-2510
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Mailing Address
MISTY ROBINSON ELLIS
PO BOX 14121
AUGUSTA, GA 30919-0121
Phone number: 440-574-3944
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