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1669996583
GARY ELLUL
WENTZVILLE, MO
NPI
1669996583
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MO 2017031123)
Enumeration Date
2017-08-02
Last Update Date
2021-06-30
Business Address
GARY ELLUL LPC
1032 CROSSWINDS CT
WENTZVILLE, MO 63385-4836
Phone number: 888-403-1071
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Mailing Address
GARY ELLUL LPC
1800 COMMUNITY
CLINTON, MO 64735-8804
Phone number: 660-885-8131
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